Clinical Physiology of Circulation

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


Successful hybrid intervention in a patient with critical lower limb ischaemia, chronic kidney disease and extended multilevel calcified occlusive lesions of the arteries of the lower extremities

Authors: Arakelyan V.S.1, Musaev M.K.1, Musalov A.Yu.1, Surkhaev R.S.1, Magomedova B.A.2

Company:
1 Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation
2 Dagestan State Medical University, Makhachkala, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2024-21-2-140-147

UDC: [616.137-005.4+616.61-002+616.137-005.63]-089

Link: Clinical Physiology of Blood Circulaiton. 2024; 21 (2): 140-147

Quote as: Arakelyan V.S., Musaev M.K., Musalov A.Yu., Surkhaev R.S., Magomedova B.A. Successful hybrid intervention in a patient with critical lower limb ischaemia, chronic kidney disease and extended multilevel calcified occlusive lesions of the arteries of the lower extremities. Clinical Physiology of Circulation. 2024; 21 (2): 140–147 (in Russ.). DOI: 10.24022/1814-6910-2024-21-2-140-147

Received / Accepted:  07.06.2024 / 24.06.2024

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Abstract

Diseases of the arteries of the lower extremities and diabetes mellitus are currently important global problems. In cases where optimal medical therapy and exercise do not improve the symptoms of intermittent claudication, as well as in cases of ischemia that threaten limb loss, revascularization is the standard of care.

The article contains a description of the clinical case of a 75-year-old patient with critical ischemia of the lower limb (WIfI: 131) against the background of extensive multi-level occlusive, severely calcified lesions of the arteries of the lower limb (GLASS III) and severe concomitant pathology. The presence of CKD C.4 in the patient was a factor that increased perioperative risks and limited the use of iodine-containing contrast agent at the diagnostic stage and during intervention. Given the high risk of losing the lower limb within 1 year, a hybrid intervention was successfully performed. The treatment outcome confirms that the hybrid strategy is the treatment of choice in patients who are not suitable for open or endovascular methods as the sole treatment option.

About Authors

  • Valery S. Arakelyan, Dr. Med. Sci., Professor, Head of the Department; ORCID
  • Magomedrasul K. Musaev, Head of the department; ORCID
  • Abdulgamid Y. Musalov, Endovascular Surgeon; ORCID
  • Rabazan S. Surkhaev, Postgraduate; ORCID
  • Badzhey A. Magomedova, Student; ORCID

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