LONG-TERM RESULTS AFTER POPLITEAL-PEDAL BYPASS IN DIABETIC FOOT PATIENTS

Purpose: The evaluation of the long-term results after popliteal-pedal bypass in diabetic foot patients. Materials and methods. In this retrospective single-center study between January 2011 and June 2016 were selected diabetic patients WIfI 2–3, with chronic limb-threatening ischemia (CLTI) Rutherford III-IV category: men 27 (46,6%), women – 31 (53,4%); average age 68 year ±5,6 year (n=58). Results. The mean preoperative ABPI was 0.4 to 1,2 and depend of Menkenbergs calcinoses. According to preoperative DUS in all patients were detected occlusive-stenotic lesion on BTK arteries, the type of Doppler spectrum curve on the foot arteries blood flow with lower peripheral resistance (RI < 0.83) in 31 (53.4%) patients, blood flow with high peripheral resistance (RI = 1.0) – in 19 (32.8%), pedal artery’s lumen was detected – in 8 (13.8%). ТсРО2 on the foot was (11.2 ±6.2) mm. Hg. The ABPI were used to evaluate the hemodynamic response after operation, was the good determinant technical success and clinical improvement, but we did not find any correlation with preoperative data. Wound healing after the intervention on the foot during 1–2 weeks occurred in 46 (79.3%), repeated intervention including autodermoplasty made wound healed within 1.5-2 months in 7 (12.1%) patients. Conclusions. Limb salvage and CLTI patients survival after open surgery who were not performed major amputation after revascularization were comparable regardless of treatment method.