Open AccessANALYSIS OF THE CAUSES OF MORTALITY AFTER HIGH AMPUTATIONS OF THE LOWER EXTREMITIES FOR CRITICAL ISCHEMIA
Author(s) -
Svitlana Fedorenko
Publication year - 2021
Publication title -
voennaâ medicina
Language(s) - English
Resource type - Journals
ISSN - 2074-5044
DOI - 10.51922/2074-5044.2021.3.68
Subject(s) - medicine , amputation , autopsy , ischemia , critical limb ischemia , atrial fibrillation , cause of death , cardiology , heart failure , coronary artery disease , disease , medical record , mortality rate , surgery , arterial disease , vascular disease
Despite the development of modern methods of diagnosis and treatment of obliterating atherosclerosis of the lower extremities in 38-65% of patients, the disease progresses with the development of critical ischemia of the lower extremities. This often requires amputation at various levels. Postoperative mortality in this case reaches 20% or more. The aim of this work was to study the causes of death in patients after amputation of the lower extremities for critical ischemia. We studied 296 medical records and 52 autopsy reports of the deceased, which were used to amputate the lower extremities. It turned out that the mortality rate in women is 1.9 times higher than in men. The risk of death is increased by the presence of coronary heart disease in a patient with grade 2B circulatory failure and atrial fibrillation. The most common immediate cause of death after amputation is multiple organ failure.