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Treatment strategy for patients with chronic ischemia of the lower limbs in combination with ischemic heart disease

Authors: Alekyan B.G., Karapetyan N.G., Sedgaryan M.A.

Company: National medical research center of surgery A.V. Vishnevsky, Moscow, 117997, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2020-14-4-377-389

For citation: Alekyan B.G., Karapetyan N.G., Sedgaryan M.A. Treatment strategy for patients with chronic ischemia of the lower limbs in combination with ischemic heart disease. Creative Cardiology. 2020; 14 (4): 377–89 (in Russ.). DOI: 10.24022/1997-3187-2020-14-4-377-389

Received / Accepted:  05.09.2020 / 10.09.2020

Keywords: percutaneous coronary intervention stenting and balloon angioplasty of the arteries of the lower extremities combined lesion of the coronary arteries and arteries of the lower extremities multidisciplinary team chronic ischemia of the lower extremities critical ischemia of the lower extremities

Full text:  

 

Abstract

Chronic ischemia of the lower extremities and coronary heart disease today remain one of the main socio-economic problems that mutually aggravate each other. The problem of treating patients with intermittent claudication with concomitant ischemic heart disease, despite the rapid development of medical technologies, remains one of the most important in medicine. The progression of the disease leads to the development of complications such as major cardiovascular events, the development of critical ischemia of the lower extremities and amputations, which are disabling diseases. This review article presents current trends in the management of patients with chronic lower limb ischemia in combination with coronary artery disease. For many years in Russian and world literature there is no single point of view on the management of patients with lesions of the arteries of the lower extremities in combination with coronary heart disease. The article shows different points of view (medical therapy, endovascular and surgical intervention) regarding the management and treatment of patients with chronic lower limb ischemia of stage 2B according to the Fontaine–Pokrovsky classification, the role of a multidisciplinary Vascular Team, the results of large studies, as well as current data on the treatment of intermittent claudication

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About Authors

  • Bagrat G. Alekyan, Dr. Med. Sc., Professor, Academician of RAS, Deputy Director, ORCID
  • Narek G. Karapetyan, Cand. Med. Sc., Senior Researcher, Endovascular Surgeon, ORCID
  • Marat A. Sedgaryan, Postgraduate, Endovascular Surgeon, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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