[Analysis of complications and indices of cumulative preservation of the lower extremities in their chronic critical ischemia after direct, indirect and composite revascularization].

Complications and indices of the lower extremities cumulative preservation in conditions of their chronic critical ischemia after doing the direct, indirect and composite revascularization were analyzed. Surgical treatment and postoperative follow-up was performed in 170 patients ageing 25-84 years. The priority role of a. fibularis in a blood supply of the extremity distal segment in obliterating diseases of the lower extremities arteries was established. After the direct revascularization performance there was noted the lowering of the extremities preservation indices during a follow-up period from 96%--in the first month down to 84%--in 24 months, and after composite revascularization--from 96 to 94%. The direct revascularization conduction, using automyelotransplantation, have permitted to secure the extremity in 95.1% of patients, suffering incurable affection of a nonrecontructable affection of the popliteo-crural segment arteries.