Kết quả điều trị bệnh động mạch chi dưới bằng phẫu thuật phối hợp với can thiệp mạch máu một thì (Hybrid) tại bệnh viện hữu nghị Việt Đức giai đoạn 2014 - 2015
Main Article Content
Abstract
Combining open surgery and endovascular interventions (Hybrid) for peripheral artery disease (PAD) were first conducted in Viet-Duc hospital since 2011 with good initial results. We continue this therapy for patients with PAD in 2014 - 2015 Results: 14 patients were treated including 8 stage III patients, 6 stage IV patients (Leriche-Fontaine's classification). Only one female patient, Average age of patients was 72.7. There are 28.6% patients had previous CVA lesions, 21.4% patients with carotid or coronary lesions. All patients were reduced /free from pain after treatment. Ankle Brachial Index (ABI) rose from 0.32 to 0.73. Only one patient required major amputation. Minor amputation after treatment accounted for 21.43%. No technical complications happen during treatment. Hybrid for multi-stage lesions of PAD remains safety, effective and feasible.
Article Details
Keywords
PAD, vascular surgery, vascular intervention, hybrid.
References
2.Nguyễn Duy Thắng, Đoàn Quốc Hưng, Nguyễn Hữu Ước, Phạm Quốc Đạt (2013) Kết quả phối hợp phẫu thuật và can thiệp nội mạch một thí (Hybrid) trong điều trị bệnh lý mạch máu tại bệnh viện hữu nghị Việt Đức . Tạp chì y học thực hành số 7(876): 43-46
3.Đoàn Quốc Hưng, Nguyễn Duy Thắng, Nguyễn Hữu Ước, Lê Thanh Dũng, Nguyễn Lân Hiếu (2014) Điều trị bệnh mạch máu phức tạp bằng can thiệp nội mạch phối hợp phẫu thuật (Hybrid) Tạp chì tim mạch học Việt Nam số 65: 34-41.
4.Alan T. Hirsch et al. (2006) ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic) . Circulation.113:e463-e654
5.Michal Tendera et al (The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC)) (2011) ESC Guidelines on the diagnosis and treatment of peripheral artery diseases European Heart Journal 32, 2851–2906.
6.Rooke Twet al. (2011) ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline) . Catheter Cardiovasc Interv. 2012 Mar 1;79(4):501-31.
7.Porter JM, Eidemiller LR, Dotter CT, Rösch J, Vetto RM: (1973) Combined arterial dilatation and femorofemoral bypass for limb salvage . Surg Gynecol Obstet 137:409–412.
8.Goodney P.Philip, R. M. Zwolak. (2009) National trends in lower extremity bypass surgery, endovascular intervention, and major amputations. J Vasc Surg 50:54-60
9.Ortiz D1, Jahangir A1, Singh M1, Allaqaband S1, Bajwa TK1, Mewissen MW2 2014 Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes . Circ Cardiovasc Interv. Dec;7(6):821-8.
10. Kenneth Ouriel (2001) Peripheral arterial disease Lancet; 358: 1257–64.