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Early results of endovascular treatment of peripheral artery diseases at Dong Nai General Hospital
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Abstract
Introduction: Peripheral artery disease is a chronic disease with long-term progression and risk of disability. Treatment includes surgery and endovascular interventions, the latter is becoming more and more developed. This approach has good early and medium-term outcomes
Subjects: We report 07 cases of patients diagnosed with peripheral arterial disease who received endovascular intervention at Dong Nai General Hospital.
Results: 7 patients with peripheral vascular disease was treated with endovascular approach at Dong Nai General Hospital. Stenosis or chronic occlusion of the superficial femoral artery accounts for 50% of cases, the rest are stenosis of common iliac arteries, external iliac arteries and below-the-knee lesions. The primary intervention results were good, there were no serious complications, the rate of early vascular patency was 100%, the wound healing rate was 100%, there were 3 cases with stenting after balloon angioplasty and 3 cases of minor amputation. No reintervention was needed in these patients.
Conclusion: The initial results of endovascular intervention for peripheral vascular disease at Dong Nai General Hospital are encouraging, helping to expand the indications for intervention, including hybrid surgery and creating first steps in multispecialty treatment of cardiovascular disease, a new trend in the future.
Article Details
Keywords
peripheral artery disease, amputation, endovascular approach
References
2. Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, et al. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia. Eur J Vasc Endovasc Surg. 2019;58(1S):S1-S109 e33.
3. Thukkani AK, Kinlay S. Endovascular intervention for peripheral artery disease. Circ Res. 2015;116(9):1599-613.
4. Aboyans V, Ricco JB, Bartelink MEL, Bjorck M, Brodmann M, Cohnert T, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018;39(9):763-816.
5. Sixt S, Krankenberg H, Mohrle C, Kaspar M, Tubler T, Rastan A, et al. Endovascular treatment for extensive aortoiliac artery reconstruction: a single-center experience based on 1712 interventions. J Endovasc Ther. 2013;20(1):64-73.
6. Katsanos K, Al-Lamki SA, Parthipun A, Spiliopoulos S, Patel SD, Paraskevopoulos I, et al. Peripheral Stent Thrombosis Leading to Acute Limb Ischemia and Major Amputation: Incidence and Risk Factors in the Aortoiliac and Femoropopliteal Arteries. Cardiovasc Intervent Radiol. 2017;40(3):351-9.
7. Kuntz S, Lejay A, Chakfe N. Subintimal Angioplasty in the Superficial Femoral Artery: A Real Long Term Option Demonstrated by Histology. EJVES Vasc Forum. 2021;52:49-50.
8. Iida O, Urasawa K, Komura Y, Soga Y, Inoue N, Hara H, et al. Self-Expanding Nitinol Stent vs Percutaneous Transluminal Angioplasty in the Treatment of Femoropopliteal Lesions: 3-Year Data From the SM-01 Trial. J Endovasc Ther. 2019;26(2):158-67.
9. Golledge J, Drovandi A, Velu R, Moxon J. Cohort study examining the relationship between remoteness and requirement for surgery to treat peripheral artery disease at a tertiary hospital in North Queensland. Aust J Rural Health. 2021;29(4):512-20.