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Effect of coronary artery disease on incidence of major adverse cardiovascular events after surgical treatment of patients with peripheral arterial disease (literature review)

Abstract

This review article describes the current trends in surgical treatment of patients with critical and chronic lower-limb ischemia combined with coronary artery disease, taking a close look at the problems concerning the necessity of performing myocardial revascularization (percutaneous coronary intervention and coronary artery bypass grafting) in patients with critical and chronic lower-limb ischemia. Globally, more than 202 million people were living with peripheral artery disease in 2010; of these, 20–40 million people had intermittent claudication, with a further 45 (22.5%) million people diagnosed with coronary artery disease and acute cerebral ischemia known to be the leading cause of lethal outcomes. It is concluded that further studies are warranted in this direction in order to work out clear-cut recommendations on treatment of patients with critical and chronic lower-limb ischemia combined with coronary artery disease.

Keywords:percutaneous coronary interventions; open surgery of lower-limb arteries; combined lesions of coronary and lower-limb arteries; interdisciplinary team; chronic limb ischemia; critical limb ischemia

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Alekyan B.G.; data collection and handling – Avoyan A.R.; statistical processing – Karapetyan N.G.; draft manuscript preparation – Avoyan A.R.; manuscript revision – Karapetyan N.G., Alekyan B.G.

For citation: Alekyan B.G., Karapetyan N.G., Avoyan A.R. Effect of coronary artery disease on incidence of major adverse cardiovascular events after surgical treatment of patients with peripheral arterial disease (literature review). Angiology and Vascular Surgery. 2023; 29 (1): 162–9. DOI: https://doi.org/10.33029/1027-6661-2023-29-1-162-169 (in Russian)

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Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.