LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA
Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremi...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
S.M. Vasyliuk [verfasserIn] V.S. Osadets [verfasserIn] O.V. Prudnikov [verfasserIn] O.M. Makarchuk [verfasserIn] B.V. Krysa [verfasserIn] V.V. Ivanyna [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; Ukrainisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Сучасні медичні технології - Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022, (2022), 4(55), Seite 9-12 |
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| Übergeordnetes Werk: |
year:2022 ; number:4(55) ; pages:9-12 |
| Links: |
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| DOI / URN: |
10.34287/MMT.4(55).2022.2 |
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| Katalog-ID: |
DOAJ089329635 |
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| 245 | 1 | 0 | |a LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA |
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| 520 | |a Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. | ||
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| 650 | 4 | |a angiography | |
| 650 | 4 | |a transfemoral amputation | |
| 650 | 4 | |a below-knee amputation | |
| 650 | 4 | |a through-knee amputation | |
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10.34287/MMT.4(55).2022.2 doi (DE-627)DOAJ089329635 (DE-599)DOAJc58444837fb1441b9e68a80287652cfc DE-627 ger DE-627 rakwb eng ukr S.M. Vasyliuk verfasserin aut LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation Medicine R V.S. Osadets verfasserin aut O.V. Prudnikov verfasserin aut O.M. Makarchuk verfasserin aut B.V. Krysa verfasserin aut V.V. Ivanyna verfasserin aut In Сучасні медичні технології Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022 (2022), 4(55), Seite 9-12 (DE-627)DOAJ078600669 20729367 nnns year:2022 number:4(55) pages:9-12 https://doi.org/10.34287/MMT.4(55).2022.2 kostenfrei https://doaj.org/article/c58444837fb1441b9e68a80287652cfc kostenfrei https://zmapo-journal.com/index.php/journal/article/view/236 kostenfrei https://doaj.org/toc/2072-9367 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2022 4(55) 9-12 |
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10.34287/MMT.4(55).2022.2 doi (DE-627)DOAJ089329635 (DE-599)DOAJc58444837fb1441b9e68a80287652cfc DE-627 ger DE-627 rakwb eng ukr S.M. Vasyliuk verfasserin aut LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation Medicine R V.S. Osadets verfasserin aut O.V. Prudnikov verfasserin aut O.M. Makarchuk verfasserin aut B.V. Krysa verfasserin aut V.V. Ivanyna verfasserin aut In Сучасні медичні технології Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022 (2022), 4(55), Seite 9-12 (DE-627)DOAJ078600669 20729367 nnns year:2022 number:4(55) pages:9-12 https://doi.org/10.34287/MMT.4(55).2022.2 kostenfrei https://doaj.org/article/c58444837fb1441b9e68a80287652cfc kostenfrei https://zmapo-journal.com/index.php/journal/article/view/236 kostenfrei https://doaj.org/toc/2072-9367 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2022 4(55) 9-12 |
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10.34287/MMT.4(55).2022.2 doi (DE-627)DOAJ089329635 (DE-599)DOAJc58444837fb1441b9e68a80287652cfc DE-627 ger DE-627 rakwb eng ukr S.M. Vasyliuk verfasserin aut LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation Medicine R V.S. Osadets verfasserin aut O.V. Prudnikov verfasserin aut O.M. Makarchuk verfasserin aut B.V. Krysa verfasserin aut V.V. Ivanyna verfasserin aut In Сучасні медичні технології Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022 (2022), 4(55), Seite 9-12 (DE-627)DOAJ078600669 20729367 nnns year:2022 number:4(55) pages:9-12 https://doi.org/10.34287/MMT.4(55).2022.2 kostenfrei https://doaj.org/article/c58444837fb1441b9e68a80287652cfc kostenfrei https://zmapo-journal.com/index.php/journal/article/view/236 kostenfrei https://doaj.org/toc/2072-9367 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2022 4(55) 9-12 |
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10.34287/MMT.4(55).2022.2 doi (DE-627)DOAJ089329635 (DE-599)DOAJc58444837fb1441b9e68a80287652cfc DE-627 ger DE-627 rakwb eng ukr S.M. Vasyliuk verfasserin aut LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation Medicine R V.S. Osadets verfasserin aut O.V. Prudnikov verfasserin aut O.M. Makarchuk verfasserin aut B.V. Krysa verfasserin aut V.V. Ivanyna verfasserin aut In Сучасні медичні технології Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022 (2022), 4(55), Seite 9-12 (DE-627)DOAJ078600669 20729367 nnns year:2022 number:4(55) pages:9-12 https://doi.org/10.34287/MMT.4(55).2022.2 kostenfrei https://doaj.org/article/c58444837fb1441b9e68a80287652cfc kostenfrei https://zmapo-journal.com/index.php/journal/article/view/236 kostenfrei https://doaj.org/toc/2072-9367 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2022 4(55) 9-12 |
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10.34287/MMT.4(55).2022.2 doi (DE-627)DOAJ089329635 (DE-599)DOAJc58444837fb1441b9e68a80287652cfc DE-627 ger DE-627 rakwb eng ukr S.M. Vasyliuk verfasserin aut LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation Medicine R V.S. Osadets verfasserin aut O.V. Prudnikov verfasserin aut O.M. Makarchuk verfasserin aut B.V. Krysa verfasserin aut V.V. Ivanyna verfasserin aut In Сучасні медичні технології Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine, 2022 (2022), 4(55), Seite 9-12 (DE-627)DOAJ078600669 20729367 nnns year:2022 number:4(55) pages:9-12 https://doi.org/10.34287/MMT.4(55).2022.2 kostenfrei https://doaj.org/article/c58444837fb1441b9e68a80287652cfc kostenfrei https://zmapo-journal.com/index.php/journal/article/view/236 kostenfrei https://doaj.org/toc/2072-9367 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2022 4(55) 9-12 |
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S.M. Vasyliuk misc ultrasound examination misc angiography misc transfemoral amputation misc below-knee amputation misc through-knee amputation misc Medicine misc R LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA |
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LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA ultrasound examination angiography transfemoral amputation below-knee amputation through-knee amputation |
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level selection of non-traumatic lower extremity amputations in patients with critical ischemia |
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LEVEL SELECTION OF NON-TRAUMATIC LOWER EXTREMITY AMPUTATIONS IN PATIENTS WITH CRITICAL ISCHEMIA |
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Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. |
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Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. |
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Objective. To evaluate the informativeness of ultrasound scanning of the lower limb arteries and angiography in patients with critical ischemia for choosing the optimal level of extremity amputation. Methods. Treatment of 289 patients with obliterative diseases of the arteries of the lower extremities of various genesis with the indications for amputation of the damaged lower extremity was analyzed. Results. Ultrasound scanning of arteries could not always characterize the severity of collateral circulation, but indicated only the level of occlusion. However, the severity of chronic ischemia of the lower limb is determined not only by the level of occlusion, but also by the severity of collateral blood flow at the same level of damage. That is why, in our opinion, the results of an ultrasound examination of the lower limb arteries cannot be decisive when choosing the level of amputation. Angiography made it possible to characterize not only the level of occlusion or stenosis, but also the state of collateral circulation, which had a decisive influence on the choice of the method of limb amputation. Conclusion. Ultrasound examination of the lower extremity vessels allows to establish the level of occlusion, but is uninformative for the assessment of collateral anastomoses, which is an important factor in choosing the level of non-traumatic amputation of the lower extremity. In patients with critical ischemia, transtibial amputations should be avoided, as they show worse results. The operation of choice should be a transfemoral amputation or non-traumatic through-knee amputation. |
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