KẾT QUẢ SỚM PHẪU THUẬT KẾT HỢP CAN THIỆP ĐỒNG THÌ ĐIỀU TRỊ BỆNH THIẾU MÁU CHI DƯỚI MẠN TÍNH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2015- 2019

Abstract

Objective: To evaluate the early results of hybrid procedures for treatment of chronic lower limb ischemia. Subject: Alls patients with chronic lower limb ischemia treated by hybrid from January 2015 to March 2019 in Department of Cardiovascular and thoralic surgery, Viet Duc university Hospital. Methods: Descriptive retrospective study. Results: There are 52 patients including in study. Hybrid procedures were performed: iliac artery stent and femoral-popliteal bypass 10 patients (19,2%); iliac artery stent and femoral-femoral bypass 24(46,1%); balloon dilatation of femoral artery and femoral-femoral bypass 3 (5,7%); iliac artery stent and endoarterectomy of femoral artery 9(17,3%); balloon dilatation of iliac artery and endoarterectomy of femoral artery 1(1,9%); iliac artery stent and iliac-popliteal bypass 1(1,9%); balloon dilatation of tibial, peroneal artery and iliac-popliteal bypass 4(7,69%). All complications can be completely controlled during treatment period. High efficiency of revascularization: ABI increased significantly from 0,36±0,23 to 0,65±0,25 (p<0.05). Lower limb preserved 98,03%. Conclusions: Hybrid procedures were safety and significantly improved clinical symptoms and paraclinical results in patients with chornic lower limb ischemia in sort term folow up.