Okhunov Alisher
Tashkent, Uzbekistan
Title: Endovascular methods for correcting angiopathy of the diabetic foot syndrome in patients after COVID-19
Biography
Biography: Okhunov Alisher
Abstract
Diabetes and COVID-19 are closely related in terms of the mechanism of vascular pathology. Statistics show that in patients with diabetes, after COVID-19, angiopathy is much more severe. This leads to the development of gangrene of the limb, an increase in amputation, disability and a decrease in the quality of life. The aim of our study was to improve the results of treatment of patients with diabetic angiopathy, after COVID-19, through the use of active methods of endovascular interventions. Studies conducted in 125 patients with diabetes after COVID-19 revealed 245 occlusive-stenotic changes in the vessels of the lower extremities. In addition, 10.5% of occlusions in the arteries of the medial tibial artery were eliminated. Of the 245 endovascular surgical treatments performed in patients with diabetic foot syndrome after COVID-19, 74.3% were translumbar balloon angioplasty. Most of all, translumbar balloon angioplasty was performed in 2 segments (figure 1). 58 balloon angioplasty were performed in three or more segments. Within one vascular segment, 32 balloon angioplasties were performed. The use of X-ray endovascular methods for the treatment of diabetic foot syndrome in the complex of therapeutic measures after COVID-19 made it possible to reduce the percentage of limb amputations by 3.2 times. The use of X-ray endovascular methods of treatment made it possible to avoid cases of amputation at the level of the thigh and limit amputations in 7.2% of cases at the level of the lower leg, to reduce mortality from 10.3% to 4.0%. The use of X-ray endovascular methods of surgical correction of ischemia of the lower extremities in patients with diabetic foot syndrome who underwent COVID-19 made it possible to increase the proportion of positive treatment results in the form of limb preservation from 67% to 88.8%.