| Abstract [eng] |
The aim of the study is to evaluate the efficacy of percutaneous transluminal angioplasty in reduction of the lower limb ischemia and to investigate the influence of this procedure on the lower limb salvage rate. The introduction defines the objectives and tasks of the study, includes a literature review, a summary of the main problems related to the theme. A separate chapter describes the research methodology. The study analysed the treatment results of 146 patients who underwent the iliac artery percutaneous transluminal angioplasty. The following PTA efficacy criteria were determined - the increase of ankle-brachial index and the decrease of ischemia according to Fontaine stages of limb ischemia. It was also found that the substantial PTA effect of the iliac artery and the need for additional interventions become evident during the early postoperative period (1–7 days after PTA), and the effect of angioplasty decreases gradually during one year follow-up after the procedure. To arrest the progression of ischemia an additional endovascular procedure or an open surgery of femoral, popliteal and the crural arteries is necessary. The majority of these operations or procedures are reconstructive operations of the femoral, popliteal and the crural arteries. The effectiveness of the iliac artery PTA depends on the stage of lower limb ischemia. The need of an additional intervention is determined by the nature of lesion of the femoral arteries and the increase in ankle-brachial index for less than 0.15. The comorbidity was homogenous both in patients who had only PTA and in patients, who needed additional interventions. Among the examined risk factors of peripheral artery disease only arterial hypertension and hypertrophy of the left ventricle had the influence on the progression of the disease and the efficacy of PTA. |
