The key to successful treatment in patients with acute coronary syndrome is maximally early revascularization of the coronary arteries. Treatment of multifocal atherosclerosis with lesions of the coronary and peripheral arteries requires coordinated work of the multidisciplinary team of doctors. Critical ischemia of the lower limbs requires urgent revascularization in order to prevent limb amputation. However, it is not always possible to perform revascularization using specialists of the same profile – endovascular or surgical. The use of hybrid methods of treatment (surgical and endovascular) allows to significantly improve the prognosis in saving the limb. The article presents a clinical observation of successful multistep treatment of a patient with acute coronary syndrome in combination with critical ischemia of the lower limb. The first stage was performed by multiple stenting of the coronary arteries with bioabsorptive scaffolds; the second stage was the hybrid treatment – femoral-tibial bypass with simultaneous recanalization and angioplasty of the lower leg arteries with good postoperative and long-term outcome.

Electrolyte-plasma polishing (EPP), also known as electrolyte-plasma treatment (EPT) has become widespread in industry as an alternative to traditional chemical, electrochemical and mechanical methods of improving the surface quality of products made of metallic materials. EPP is an innovative technology used to obtain metal surfaces with low roughness and a high gloss. Electrolyte-plasma polishing is widely used in aerospace, biomedical, precision instrumentation and other. This work is devoted to the study of the effect of the electrolyte composition on achieving the effect of polishing titanium alloys during the implementation of the EPP process. The studies were carried out on the example of polishing a titanium alloy VT6 (Ti – 6 Al – 4 V) in a three-component aqueous electrolyte containing NaF, NH2OH·HCl and KCl. It was shown that, depending on the concentration ratio of NaF and NH2OH·HCl protolyte salts, either the formation of oxide films or their anodic dissolution in the presence of a ligand can be observed on the treated surface, with the production of a clean, non-anodized metal surface, accompanied by a decrease in roughness (polishing effect). It is established that the polishing effect is achieved at a certain ratio of NaF and NH2OH·HCl, which ensures the formation of hydrogen fluoride in it in an amount sufficient to dissolve the oxide films formed on the treated surface.