Immunological and hemostasiological aspects of pathogenesis of obliterating atherosclerosis of arteries of the lower extremities

Cover Page

Cite item

Full Text

Abstract

Objectives – to study the changes in the immunological status and hemostatic system in patients with obliterating atherosclerosis of the lower limb arteries with the damage to the femoral-popliteal-tibial segment.

Material and methods. A comprehensive study of the cytokine status and hemostatic system in patients with obliterating atherosclerosis of lower limb arteries with lesions of the femoral-popliteal tibia segment was carried out.

Results. The progressive course of obliterating atherosclerosis is often associated with an increased content of cytokines (IL-1â, IL-6, IL-8, TNFá), as well as with the phenomena of hypercoagulation (increased platelet aggregation activity, shortened APTT, CT, TT, increased fibrinogen content), SFMCs, D-dimer).

Conclusion. The study of the immunological status and hemostatic system should be performed in all patients with obliterating atherosclerosis of the lower limb arteries in order to adequately medically correct and prevent postoperative complications.

About the authors

Evgenii A. Korymasov

Samara State Medical University; Samara Regional Clinical Hospital named after V.D. Seredavin

Email: korymasov@mail.ru

PhD, Professor, Head of the Department of Surgery of the Institute of Professional Education

Russian Federation, Samara; 159 Tashkentskaya st., Samara, 443095

Evgenii P. Krivoshchekov

Samara State Medical University

Email: walker02@mail.ru
ORCID iD: 0000-0001-9780-7748

PhD, Professor, Head of the training department of the Department of Surgery of the Institute of Professional Education

Russian Federation, Samara

Aleksandr V. Kazantsev

Samara State Medical University; Samara Regional Clinical Hospital named after V.D. Seredavin

Author for correspondence.
Email: dockazantsev@mail.ru
ORCID iD: 0000-0002-9401-1506

PhD, Associate professor, Department of Surgery of the Institute of Professional Education, Cardiovascular surgeon of Department of vascular surgery

Russian Federation, Samara; 159 Tashkentskaya st., Samara, 443095

Dmitrii L. Pribytkov

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: pribytkovreaviz@mail.ru
ORCID iD: 0000-0001-7937-7502

Head of the operational unit, physician, cardiovascular surgeon of the Department of Vascular surgery

Russian Federation, 159 Tashkentskaya st., Samara, 443095

References

  1. Savel'ev VS. Pathogenesis and conservative treatment of severe stages of obliterating atherosclerosis of the arteries of the lower extremities. M., 2010. (In Russ.). [Савельев В.С. Патогенез и консервативное лечение тяжелых стадий облитерирующего атеросклероза артерий нижних конечностей. М., 2010].
  2. Barkagan ZS, Koshkin VM, Karalkin AV. Endotheliosis and the inflammatory concept of atherothrombosis - diagnostic criteria and treatment problems. Tromboz, gemostaz i reologiya. 2004;4:3-11. (In Russ.). [Баркаган З.С., Кошкин В.М., Каралкин А.В. Эндотелиоз и воспалительная концепция атеротромбоза – критерии диагностики и проблемы терапии. Тромбоз, гемостаз и реология. 2004;4:3-11].
  3. Shval'b PG, Kalinin RE. New prospects for determining the functional state of the endothelium in the surgical treatment of obliterating atherosclerosis of the arteries of the lower limbs. Angiology and vascular surgery. 2008;14(3):173-174. (In Russ.). [Швальб П.Г., Калинин Р.Е. Новые перспективы определения функционального состояния эндотелия при оперативном лечении облитерирующего атеросклероза артерий нижних конечностей. Ангиология и сосудистая хирургия. 2008;14(3):173-174].
  4. Pushkareva TA, Koryakina LB, Runovich AA, Kuril'skaya TE. Criteria for evaluating arterial endothelial dysfunction and modes of its correction: a review of literature. Russian Clinical Laboratory Diagnostics. 2008;5:3-7. (In Russ.). [Пушкарева Т.А., Корякина Л.Б., Рунович А.А., Курильская Т.Е. Критерии оценки дисфункции эндотелия и пути ее коррекции (обзор литературы). Клиническая лабораторная диагностика. 2008;5:3-7].
  5. Tsibikov NN, Tsibikova NM. Influence of hyperhomocysteinemia on the hemostatic system. Tromboz, gemostaz i reologiya. 2007;4:9-13. (In Russ.). [Цибиков Н.Н., Цибикова Н.М. Влияние гипергомоцистеинемии на систему гемостаза. Тромбоз, гемостаз и реология. 2007;4:9-13].
  6. Zabolotskikh IB, Sin'kov SV, Shaposhnikov SA. Diagnostics and correction of disorders of the hemostasis system. M., 2008. (In Russ.). [Заболотских И.Б., Синьков С.В., Шапошников С.А. Диагностика и коррекция расстройств системы гемостаза. М., 2008].
  7. Zubairov DM. Modern proof of concept for continuous blood clotting in the body. Tromboz, gemostaz i reologiya. 2010;1:17-21. (In Russ.). [Зубаиров Д.М. Современные доказательства концепции непрерывного свертывания крови в организме. Тромбоз, гемостаз и реология. 2010;1:17-21].
  8. Momot AP. Promising directions in the diagnosis and treatment of critical disorders of hemostasis. Tromboz, gemostaz i reologiya. 2010;1:11-16. (In Russ.). [Момот А.П. Перспективные направления в диагностике и лечении критических нарушений гемостаза. Тромбоз, гемостаз и реология. 2010;1:11-16].
  9. Melkumyan AL, Morozov KM, Samsonova NN, Tutov EG. Risk factors of the hemostatic system in diseases of the aorta, great and peripheral vessels. M., 2011. (In Russ.). [Мелкумян А.Л., Морозов К.М., Самсонова Н.Н., Тутов Е.Г. Факторы риска системы гемостаза при заболеваниях аорты, магистральных и периферических сосудов. М., 2001].
  10. Ketlinskii SA, Simbirtsev AS. Cytokines. SPb, 2008. (In Russ.). [Кетлинский С.А., Симбирцев А.С. Цитокины. СПб., 2008].

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2021 Korymasov E.A., Krivoshchekov E.P., Kazantsev A.V., Pribytkov D.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).