Arterial wall stiffness in patients with lower extremity obliterating atherosclerosis after endovascular revascularization of the ileal segment

Objective - the aim of the study is to analyze changes in arterial vascular wall stiffness in patients with lower extremity obliterating atherosclerosis in the immediate postoperative period after angioplasty with stenting of the iliac segment.

Materials and methods. The analysis of the treatment of 22 male patients with atherosclerotic lesion of the aorto-iliac arterial segment, II B-III degree of chronic arterial insufficiency of the lower extremities according to R. Fontaine - A.V. Pokrovsky, who underwent angioplasty with stenting of the iliac arteries. The control group consisted of 21 male volunteers who were considered to be in good health. The study of arterial wall stiffness included the measurement of the CAVI (cardiac-ankle vascular index) before treatment and on the 5th day after endovascular revascularization of the iliac segment.

Results. In patients with obliterating atherosclerosis of the lower extremities with damage to the aorto-iliac arterial segment, there was an initial increase in arterial wall stiffness (7.16±0.34) compared to the control group (5.63±0.11, p<0.05). Angioplasty with iliac artery stenting leads to an increase in arterial vascular wall stiffness. There is a statistically significant increase in the CAVI index after surgery compared to the data before surgery (8.51±0.35, p=0.0087). There is a significant direct correlation between the initial value of the CAVI index before surgery and its change after endovascular revascularization (r=0.55, p<0.05).

Conclusion. The presence of a relationship between the arterial vascular wall stiffness before and after angioplasty with stenting of the iliac segment has been shown. The assessment of the arterial vascular wall stiffness can be included in the diagnostic algorithm of non-invasive examination of patients as a tool for dynamic monitoring of endovascular revascularization.

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