[Complex treatment of atherosclerotic lesions of the aorta abdominal segment and of the peripheral arteries, with critical ischemia of the lower extremities in senior patients].

: Here, we summarize the experience of surgical treatment of atherosclerotic lesions of the aorta in its terminal region and of the peripheral arteries, in 136 senior patients with critical ischemia of the lower extremities. We have designed a sequential strategy of examination and risk factor detection, combined with an investigation of other arterial basins. Isolated consecutive and simultaneous "two-story" reconstructions have been evaluated. The efficiency of using endovascular and open operations has been assessed, as well as using endovascular interventions alone in some cases, considering the severe condition of the patient. We demonstrate the superior qualities of an autovein in situ as compared to an allotransplant, especially in reconstructions below the cleft of the knee joint.