FEATURES OF THE CARDIOVASCULAR SYSTEM OF A WOMAN DURING HORMONAL ADJUSTMENT

Aims: to conduct a complex diagnosis; to clarify the indications for methods of indirect revascularization; to study the surgical treatment results of patients with distal lesions of the arteries and CLI. Objects and methods of study: 174 patients aged from 23 to 78 years with non-reconstructive occlusions of the distal arteries and CLI were selected for the study; LSE was performed to stimulate regional hemodynamics for the first group (47 patients); ROT of the tibia and femur was performed for the second group (43 patients); LSE + ROT were performed for the third group (48 patients); The control group consisted of 36 patients with similar pathology who had conventional conservative therapy. Clinical and paraclinical [s.a. skin thermometry; determination of skin saturation with oxygen; Doppler ultrasonography and angioscanning with determination of ABPI; regional systolic blood pressure (RSP); rheovasography with rheographic systolic index definition] studies and MSCT angiography were performed in order to determine the diagnosis of CLI, specify indications for a particular technique of indirect revsacularization, and evaluate the results of treatment. Research results: Research results were rated on the Rutherford R.B scale. The methods of indirect revascularization allowed us to stick to small amputations and, in the majority of patients, to maintain the support functions of the limb and improve the quality of life. At the same time, the best results were obtained with the combined operations of LSE and ROT. It is necessary to clearly define the indications for a particular technique in order to avoid discrediting the methods of indirect revascularization, as an alternative to amputations in case of distal artery occlusion. Correct assessment of the clinical status, regional hemodynamic parameters and MSCT-angiographic semiotics in determining indications for surgery reduces the unsatisfactory results.