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  • 31 -11 (85) 2025 - K.J. Matmurotov, A.B. Narmetov - CLOSEST RESULTS OF ENDOVASCULAR REVASCULATION OF PERIPHERAL ARTERIES IN ELDERLY PATIENTS

31 -11 (85) 2025 - K.J. Matmurotov, A.B. Narmetov - CLOSEST RESULTS OF ENDOVASCULAR REVASCULATION OF PERIPHERAL ARTERIES IN ELDERLY PATIENTS

CLOSEST RESULTS OF ENDOVASCULAR REVASCULATION OF PERIPHERAL ARTERIES IN ELDERLY PATIENTS

K.J. Matmurotov - Tashkent State Medical University

A.B. Narmetov - Tashkent State Medical University

Resume

Purpose: to improve the immediate results of endovascular elimination of factors causing lower limb arterial ischemia in elderly patients with diabetes mellitus. Materials and methods: The object of the study was 160 patients with varying degrees of ischemia and purulent-necrotic process of the lower extremities who underwent endovascular revascularization against the background of diabetes mellitus at the "Twins medical center" private clinic in 2024-2025. When analyzed by age groups, the elderly patients were 60-75 years old. Results: Analysis of the conclusions obtained as a result of the treatment of patients showed that in 124 (77.5%) of the 160 observed patients, revascularization of the peripheral arteries ended with the restoration of blood circulation in all tibial arteries in full volume (including 3 arteries). In 150 (93.8%) treated patients, a reduction in the size of trophic ulcers in a short period of time and a certain acceleration of the wound defect healing process were observed. Lower limb pain significantly decreased in 133 (83.1%) patients (according to the VAS scale 5.9 → 2.3). Conclusion: The development of medical technology in modern surgery has led to the discovery of new technological surgical methods in many areas and the achievement of maximum effectiveness through minimally invasive methods. Endovascular revascularization of peripheral arteries in elderly patients occupies an important place in safe, effective, and long-term treatment based on the results of 3-month treatment.

Keywords: peripheral arteries, trophic ulcer, revascularization, endovascular surgery, old age, ischemia.

First page

171

Last page

174

For citation:K.J. Matmurotov, A.B. Narmetov - CLOSEST RESULTS OF ENDOVASCULAR REVASCULATION OF PERIPHERAL ARTERIES IN ELDERLY PATIENTS//New Day in Medicine 11(85)2025 171-174 https://newdayworldmedicine.com/en/new_day_medicine/11-85-2025

List of References

  1. Матмуротов К.Ж., Саттаров И.С., Қўчқоров А.А.Рузметов Н.А. Влияние микобактериальных ассоциatsiй на кратность повторных оперaций при диабетической гангрене нижних конечностей. // «Вестник» ТМА, 2021:6:106-111.
  2. Матмуротов К.Ж., Саттаров И.С., Атажонов Т.Ш., Саитов Д.Н.. Характер и частота поражения артериальных бассейнов при синдроме диабетической стопы. // «Вестник» ТМА, 2022;1:128-131.
  3. Матмуратов К.Ж., Исмаилов У.С., Атажонов T.Ш., Якубов И.Ю. Разработка методов лечения нейроишемической формы диабетической остеоартропатии при синдроме диабетической стопы. // Проблемы биологии и медицины 2023;5:(148).
  4. К.J.Matmurotov, S.S.Atakov, I.S.Sattarov, J.H.Otajonov. T.Sh.Atajanov. Bone resection features in leg amputation in patients with gangrene of lower extremities on the background of diabetes mellitus. // American Journal of Medicine and Medical Sciences 2019;9(7):249-254.
  5. B.D. Babajanov, K.J. Matmurotov, T.Sh. Atajоnov. The effectiveness of selective intra-arterial catheter therapy in the treatment of diabetic gangrene of the lower extremities. // Web of scientist: international. Scientific research journal. sn: 2776-0979, Volume 4, Issue 11, November. 2023.
  6. Alik Farber, Peter B. Imrey,Thomas S. Huber et al. Multiple preoperative and intraoperative factors predict early fistula thrombosis in the Hemodialysis Fistula Maturation Study. // J Vasc Surg. 2018;63(1):163-170.
  7. Baines, C. P. How and when do myocytes die during ischemia and reperfusion: the late phase // J. Cardiovasc. // Pharmacol. Ther. 2019;16(3-4):239-243.
  8. Comparison of Removable and Irremovable Walking Boot to Total Contact Casting in Offloading the Neuropathic Diabetic Foot Ulceration / A. Piaggesi, C. Goretti, E. Iacopi [et al.] // Foot Ankle Int. – 2021; Apr. 15.
  9. Functional outcomes of transmetatarsal amputation in the diabetic foot: timing of revascularization, wound healing and ambulatory status / T. Mandolfino, A. Canciglia, M. Salibra [et al.] // Updates Surg. 2016; 29 pp.
  10. Study of Disease Progression and Relevant Risk Factors in Diabetic Foot Patients Using a Multistate Continuous-Time Markov Chain Model / A. Begun, S. Morbach, G. Rümenapf [et al.] // PLoS One. – 2022;11(1):e0147533.
  11. Tissue penetration and exposure of cefepime in patients with diabetic foot infections / W. So, J.L. Kuti, A. Shepard [et al.] // Int. J. Antimicrob Agents. 2019;47(3):247-248.
  12. Zhang Z., Lv L. Effect of local insulin injection on wound vascularization in patients with diabetic foot ulcer // Exp. Ther. Med. 2016;11(2):397-402.

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