Abstract
Background: Peripheral artery disease is a complex and widespread pathology. Occlusive lesions of the aorto-iliac segment are combined with lesions of the arteries of vital organs such as heart, brain, kidneys, visceral organs. It is an additional challenge in the treatment of the pathology. The main aim: To develop comprehensive approach to improve the treatment of patients with occlusive aorto-iliac segment lesions using open surgical access. Materials and Methods: A prospective non-randomized clinical trial of the surgical treatment of 134 patients with occlusive aorto-iliac segment lesions was conducted. Patients were divided into 2 groups depending on the treatment tactics: the first group consisted of 70 patients with unstable aorto-iliac segment occlusion, and the second one ‑ of 64 patients, who have got preliminary surgical vascular accompanying pathology correction. Results: Complications in 30-day postoperative period in patients of the 1st group resulted in fatal outcome in 4 (5.7%) cases, in the 2nd group ‑ in 1 (1.6%) case. The 5-year mortality in patients of the 1st group was in 5 (7.7%) cases, and in the 2nd group this rage was 2 (3.3%) cases.