Diagnostic value of capillaroscopy when choosing treatment tactics for patients with tibial artery occlusion

Abstract

Obliterating arterial atherosclerosis of the lower limbs is from 2% to 4% in the structure of cardiovascular disease. A dangerous complication of critical lower limb ischemia is an amputation of the affected limb. Evaluation of microcirculatory channel on the lower extremities in patients with occlusal diseases is one of the most important prognostic criteria when choosing treatment tactics for this group of patients. Objective of the study was to evaluate the results of surgical treatment in patients with tibial artery occlusion depending on the number of  functioning capillaries of the affected lower limb. The received results of treatment in the postoperative period for 12 months showed that all patients arriving with tibial artery occlusion with chronic lower limb ischemia stage III according to Pokrovsky - Fontein should include capillaroscopy of 1 finger of the affected lower limb in the examination algorithm for optimal choice of treatment tactics. These observations can improve the quality of medical care in hospitals of the vascular profile and reduce the number of amputations of the lower limbs in patients with tibial artery occlusion.