A.G. EPIFANOV, E.A. EPIFANOVA
Public Health Management of Ryazan Administration
Municipal Institution of Public Health Clinical Hospital No.10
Medical Center of High Technologies, Ryazan, Russia
Analysis of publications data and data of authors' investigations on chronic critical limb ischemia (CCLI), which occurred to be beyond modern angiology's strength because of unclear ways of search for reliable criteria of limb viability assessment and scientific-based indications for revasculization surgery, is represented in the article. Evidences of impossibility to give definition of CCLI from the modern angiology point of view and, therefore, to validate the necessity of performing revasculization surgery on the scientific base in patients with rest pains, ulcers and distal necrosis of limb tissues, are given. The proofs of results invalidity of treatment with the use of revasculization operations are given. It is proved that in the basis of development and progression of chronic limb ischemia there isn't a process of arterial insufficiency, but primary alternate changes in the structure of three energetic bodies of a man generating subjective sensations from the injured limb.
It is especially marked that primary alternate changes in the structure of three energetic bodies of a man produce phenomena of increasing pyrokinesis in the organic body of the patient and secondary generation of three types of skin sensitivity, initiating all types of patient's body regulation.
It is emphasized that the new conception of chronic limb ischemia pathogenesis and the proposed methods of its prevention and treatment are tested by commissions of Ministry of Public Health of the USSR and the Ministry of Public Health of the Russian Federation during many years on the basis of order of the Ministry of Public Health of the USSR No.589 dated 17/06/1982. The resolution of the I All-Russian scientific and practical conference about the necessity of implementation of the new method of specialized in-patient medical care for patients presenting with CCLI in all the regions of Russia.