Contact the team KINK-2027 · Course on CLTI

20 years of work with threatened limbs
5,500 patients
8,000 procedures on leg arteries
JSC «Medicine» inpatient hospital in Moscow, JCI accredited

KINK-2027 — 10th Moscow Course on CLTI Moscow, 26-27 February 2027 · free participation · talks in English welcome Details →

What we do

Many of our patients come after they have been offered a major amputation, or after a revascularization that did not heal the wound.

One lead surgeon owns the decision and calls in the others. Each leg gets its own strategy, chosen from the full range of tools - the effective one, not the most beautiful one.

Patients come to us from all over Russia, so the team follows them before arrival and after discharge. Inpatient care - JSC «Medicine», Moscow.

Endovascular revascularization below the knee and in the foot, including atherectomy and lithotripsy for heavy calcification
Open and hybrid vascular surgery
Deep venous arterialization for patients with no other option
Wound surgery and wound care until the wound has closed
Cardiac assessment: we look for myocardial ischemia at rest and do not stent coronaries “just in case”
The discharge prescription as part of the procedure: antithrombotic and lipid-lowering therapy

About the name KINK.RF

KINK.RF was originally established in Russia as a specialized program for patients with critical lower-limb ischemia. The name derives from the Russian abbreviation for this condition.

Today, our clinical work follows the contemporary concept of chronic limb-threatening ischemia (CLTI) and focuses on limb salvage, revascularization and multidisciplinary care.

Where the patient is treated matters

No randomised trial has compared a specialised service with usual care, and none is likely to be run. But wherever a dedicated team took over, major amputations fell several-fold.

Diabetic foot · Germany · 1,192 patients · two hospitals, same years

4.6×

fewer major amputations with a structured diabetic foot service

Regional hospital without the service21.7%

Hospital with the service4.7%

Weck et al. Cardiovasc Diabetol 2013. doi:10.1186/1475-2840-12-45

Diabetic foot · Copenhagen, Denmark · population 178,000

3.9×

fewer major amputations after a multidisciplinary foot clinic opened and revascularizations rose sevenfold

1981, per 100,000 population27.2

1995, per 100,000 population6.9

Holstein et al. Diabetologia 2000. doi:10.1007/s001250051459

All indications, including CLTI · Seattle, USA

4.1×

fewer major amputations after a limb preservation service was set up

2009-2013, before the service490

2014-2018, with the service119

CLTI alone: 68% fewer.

Hemingway et al. Ann Vasc Surg 2021. doi:10.1016/j.avsg.2020.08.001

Observational studies - before-after or non-randomised comparison: an association, not proof of cause. The multiples are our calculation from the published figures.

Team leaders

Andrey Eroshenko, MD, PhD Head of the team; cardiovascular and endovascular surgeon
Ivan Eroshkin, MD, PhD Endovascular surgeon, lower limb arterial interventions
Ekaterina Zubova, MD, PhD Cardiologist, cardiac intensive care, functional diagnostics
Galina Strakhova, MD, PhD Endocrinologist and podiatrist; head of the Diabetic Foot Competence Centre; associate professor, Department of Endocrinology and Diabetology, Pirogov Russian National Research Medical University

Seventeen specialists in total - full team on the Russian site.

Teaching and science

KINK-2026 course, Moscow.

KINK course

An annual Moscow course on CLTI and limb salvage, with more than 700 participants every year. KINK-2027 — 10th Moscow Course on CLTI, 26-27 February 2027 →

Professional society

Association “National Scientific Society of Specialists in the Treatment of Critical Lower Limb Ischemia” - registered association since 2021. Website in Russian: nno-kink.ru

Guidelines in Russian

Russian edition of the Global Vascular Guidelines on the management of CLTI, 2019 - with permission of ESVS and Prof. M.S. Conte.

Talks abroad

CEC-2026, Shanghai: “Beyond Revascularization - Towards Specialized Care for CLTI”.

Selected publications

Eroshenko An.V., Eroshkin I.A., Zubova E.A., Kovylov A.O., Krasnoshchekova L.S. Endovascular arterialization of deep crural and pedal veins in a patient with critical lower limb ischaemia. Angiology and Vascular Surgery. 2021; 27(3): 54-65. doi:10.33529/ANGIO2021317
Eroshenko An.V., Minushkina L.O., Eroshkin I.A., Zubova E.A. Revascularization or conservative therapy for intermittent claudication: a systematic review and meta-analysis of clinical trials with a follow-up period of 5 years or more. International Journal of Interventional Cardioangiology. 2024; (76): 45-74. doi:10.24835/1727-818x-76-45

Two documents we use ourselves

Checklist: what makes a limb salvage centre

PDF, 2 pages

28 questions across six areas: team, wound, heart, drugs, technology, knowledge. No randomised trial has compared a specialised centre with usual care, so this is a map of gaps, not a certificate. A centre with every box ticked does not exist - ours does not either.

Download the checklist (PDF)

Outcome form: the minimum dataset for CLTI

PDF, 2 pages

One line per patient, four points in time, agreed definitions. It stays with you: we do not collect anything. Four numbers change a centre - limb salvage, wound healing, survival, and how many patients left on the right drugs.

Download the outcome form (PDF)