The experience of treatment of 32 patients with diffuse peripheral arterial diseases was analyzed. All patients underwent the by-pass surgery with the formation of unloading arterio-venous fistulas. Indications to the formation of A-V fistula was the high peripheral resistance of the vascular wall. 4 variants of by-pass were used: the side-by-side by-pass n=14; the preanastomotic adjuvant arterio-venous shunt n=7; and 2 original author modification. The analysis of the results demonstrated no statistical difference between A-V shunts modifications. However, the methods, proposed by the authors has some advantages due to the higher increase of the perfusion area.
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