[Treatment policy in critical lower limb ischaemia in patients with pronounced concomitant pathology].

The authors analyse the results of examination and treatment of 25 patients presenting with occlusive and stenotic lesions of lower-limb arteries accompanied by pronounced concomitant pathology and undergoing minimally invasive endovascular interventions. Comprehensive clinical and instrumental methods of examination (ultrasound duplex scanning, roentgen contrast angiography, multispiral computed tomography with intravenous contrasting) made it possible to work out an algorithm of surgical policy. Patency after endovascular transcutaneous balloon angioplasty and/or stenting by the end of the third year of follow up amounted to 64%, with a limb salvage rate of 68% (17 patients).