DIABETIC REAM, ACTUALITY IN THE XXI CENTURY (REVIEW OF LITERATURE)

Abstract

Among the chronic complications of diabetes mellitus, lesions of the lower extremities are one of the main causes of patient disability and socio-economic damage.According to Pavliashvili G.V. 2011. [1] Diabetes mellitus (DM) increases the risk of developing peripheral arterial diseases 3-4 times. The mortality rate of patients with SDS is 2 times higher compared with patients with diabetes without this complication. One of the reasons for the development of purulent-necrotic complications in this group of patients is occlusive lesions of the main arteries. They are localized below the inguinal ligament, mainly affecting the popliteal and tibial arteries. However, with the improvement of the technique of endovascular operations in domestic and foreign literature, interest in endovascular treatment of patients with SDS has increased. Obviously, balloon angioplasty and stenting have several advantages over open surgical interventions. Low mortality, low complication rate, the ability to perform operations under local anesthesia, and early activation of patients can be used in all categories of patients [2]. Nevertheless, in the treatment of patients with SDS, a number of unresolved issues remain that require further study to select the optimal tactics aimed at saving the limb in this severe category of patients.