Arterialization of the Venous Bed of the Lower Extremities in the Treatment of Chronic Lower Limb Ischemia of Atherosclerotic Origin

The relevance of this review is explained by the growing number of patients suffering from obliterating atherosclerosis with a distal type of arterial lesions of the lower extremities. Objective: To analyze the literature covering the problem of venous arterialization with a distal type of arterial lesions of the lower extremities. Material and methods: 28 literature sources were analyzed. Results. The problem of treating patients with a distal type of arterial lesions of the lower extremities is very serious. Performing classical direct reconstructive arterial surgery with this type of arterial lesion is often impossible. In this regard, the search for alternative methods of revascularization of the lower extremities in the case of tibial artery occlusion is becoming increasingly important and relevant. The use of indirect revascularization methods, in particular, venous arterialization in patients with lower limb ischemia, may contribute to limb salvage. Conclusions. The methods of arterialization of the venous bed of the lower extremities are far from being perfect. Hence, arterialization of the venous bed of the lower extremities, as a method of treating patients with lesions of the tibial arteries, is not widely used in clinical practice.