pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2024_19_2_108pirogovestnik-121Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSГИБРИДНЫЙ ПОДХОД РЕВАСКУЛЯРИЗАЦИИ ПРИ ХРОНИЧЕСКОЙ КРИТИЧЕСКОЙ ИШЕМИИ НИЖНИХ КОНЕЧНОСТЕЙHYBRID APPROACH OF REVASCULARISATION FOR CHRONIC CRITICAL LIMB ISCHEMIAМайтесянД. А.MaytesyanD. A.

Москва

Moscow

ХазамовШ. А.KhazamovSh. A.

Москва

Moscow

shamil-9090@mail.ruПапоянС. А.PapoyanS. A.

Москва

Moscow

ЩеголевА. А.ShchegolevA. A.

Москва

Moscow

МзоковХ. Т.MzokovH. T.

Москва

Moscow

ГКБ №15 им. О.М. Филатова; РНИМУ им. Н.И. ПироговаРоссияMunicipal Сlinical Hospital №15 named O.M. Filatov; Pirogov Russian National Research Medical UniversityRussian FederationГКБ №15 им. О.М. ФилатоваРоссияMunicipal Сlinical Hospital №15 named O.M. FilatovRussian FederationРНИМУ им. Н.И. Пирогова; ГКБ им. Ф.И. Иноземцева; НИИ организации здравоохранения и медицинского менеджментаРоссияPirogov Russian National Research Medical University; Municipal Сlinical Hospital named F.I. Inozemtsev; Research Institute of Health Care Organization and Medical ManagementRussian FederationРНИМУ им. Н.И. Пирогова; ГКБ им. Ф.И. ИноземцеваРоссияPirogov Russian National Research Medical University; Municipal Сlinical Hospital named F.I. InozemtsevRussian Federation202414082024192108114Copyright © Майтесян Д.А., Хазамов Ш.А., Папоян С.А., Щеголев А.А., Мзоков Х.Т., 20242024Майтесян Д.А., Хазамов Ш.А., Папоян С.А., Щеголев А.А., Мзоков Х.Т.Maytesyan D.A., Khazamov S.A., Papoyan S.A., Shchegolev A.A., Mzokov H.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/121

Лечение пациентов с атеросклерозом артерий нижних конечностей с исходом в критическую ишемию, несмотря на достижения современной медицины, представляется сложным процессом. Критическая ишемия нижних конечностей (КИНК) часто сопровождается многоуровневым поражением артерий, что диктует необходимость сложных многоэтажных артериальных реконструкций для спасения конечностей. Результаты открытых и эндоваскулярных операций не всегда оптимальны. Гибридные вмешательства (ГВ) позволяют одномоментно восстановить кровоток в нескольких сегментах, повышая шансы на спасение конечности и снижая хирургические риски у соматически тяжелых пациентов. Представлен сравнительный анализ гибридных вмешательств у пациентов с КИНК c акцентом на многоуровневое поражение артерий

Treatment of patients with atherosclerosis of the lower limbs with an outcome in critical ischemia despite the achievements of modern medicine is a complex process. Critical limb ischemia (CLI) is often accompanied by multi-level artery lesions, which necessitates complex multi-storey arterial reconstructions to rescue limbs. The results of open and endovascular operations are not always optimal. Hybrid Interventions allow you to instantly restore blood flow in several segments, increasing the chances of limb recovery and reducing surgical risks in somatic heavy patients. This overview article presents a comparative analysis of hybrid interventions in patients with critical lower limb ischemia with an emphasis on multi-level artery lesions

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The authors declare that there are no conflicts of interest present.