Abstract
<jats:p>The relevance of this problem is due to the increasing incidence of lower extremity peripheral vascular disease in patients with diabetes mellitus and the negative impact of the disease on the long-term results of reconstructive interventions on lower extremity vessels with ischemic lesions. This article presents the possibilities of organizing specialized medical care for this condition using a clinical case and a review of clinical guidelines for the diagnosis and treatment of patients with lower extremity peripheral vascular disease with diabetes. The aim of this study is to present current options for preventing high lower extremity amputations, based on the results of an analysis of clinical guidelines for the diagnosis and treatment of lower extremity peripheral vascular disease in patients with diabetes mellitus and, using a clinical case as an example, to present the results of a clinical case study. Material and methods. This study has used the results of an analysis of clinical guidelines for the diagnosis and treatment of patients with lower extremity peripheral vascular disease in patients with diabetes mellitus and data from a clinical case of surgical treatment for critical lower extremity ischemia in a patient with type 2 diabetes mellitus. The clinical case was performed in the Vascular Surgery Department of the S. I. Sergeev Regional Clinical Hospital, Khabarovsk Krai Ministry of Health. Conclusion. Type 2 diabetes mellitus leads to an increased risk of death from cardiovascular disease and loss of lower extremity function due to lower extremity arterial disease. To reduce the risk, it is necessary to promptly detect type 2 diabetes mellitus, monitor the cardiovascular system, including assessing peripheral circulation, and introduce new endovascular surgical techniques into clinical practice. Endovascular treatments for patients with critical lower extremity ischemia associated with type 2 diabetes mellitus are highly effective interventions in this patient population.</jats:p>