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Abstract
Objectives: Evaluate outcome of endovascular therapy for chronic lower extremity artery disease at Hue Central hospital.
Methods: A cross - sectional descriptive study on 41 patients with chronic lower extremity artery disease were treated by endovascular intervention at Hue Central hospital from January 2020 to June 2021. Technical success, primary patency, clinical status improvement, limb salvage, ABI index, Doppler ultrasounds after intervention were recorded for outcome.
Results: Among 41 patients enrolled to the study, the mean age was 73.5 ± 10,9 years, 73.2% was male. The major site of intervention was iliac - femoral - popliteal (70,7%). TASCII B,C lesions were commonly found (65,9%). There were 18 lesions (22,7%) treated with balloon inflation only, and 37 lesions (67,3%) managed with balloon and stent. Technical success counted for 35 case (85,4%). The mean value of ABI before and after the intervention were 0,61 ± 0,15 and 0,79 ± 0,13 respectively, (p < 0,001). The primary patency was 87,8%. Limb salvage rate was 75,0%. The common complications during and after the procedure were: access site hematomas (2,4%), embolism (4,9%), dissection (2,4%) and death due to internal bleeding (2,4%).
Conclusion: Percutaneous intervention of chronic lower extremity artery disease has a good results and high successful rate, the complication and death during and after the procedure were low. More researchs of mid-term and long - term outcome should be pursued in order to provide sufficient evidence for physician’s decision making.
References
Nam HTV. Khuyến cáo 2010 của hội tim mạch học Việt Nam về chẩn đoán và điều trị bệnh động mạch chi dưới. Nhà xuất bản Y học TP Hồ Chí Minh. 2010.
Aboyans V, Björck M, Brodmann M, Collet J-P, Czerny M, De Carlo M, et al. Questions and answers on diagnosis and management of patients with Peripheral Arterial Diseases: a companion document of the 2017 ESC Guidelines for the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) Endorsed by: the European Stroke Organisation (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). European heart journal. 2018;39(9):e35-e41.
Hardman RL, Jazaeri O, Yi J, Smith M, Gupta R. Overview of classification systems in peripheral artery disease. in Seminars in interventional radiology. 2014. Thieme Medical Publishers.
Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FGR, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). Journal of vascular surgery. 2007;45(1):S5-S67.
Tân ND, Tiến TQ. Đánh giá kết quả can thiệp nội mạch trong điều trị bệnh lý tắc, hẹp động mạch chủ-chậu và chi dưới. Tạp chí Y học Việt Nam. 2021;498(2).
Linh ĐH, Hùng PM, Quang NN, Hiếu TB, Hải NT, Quân NA, et al. Đánh giá kết quả sớm can thiệp nội mạch điều trị bệnh động mạch chi dưới mạn tính ở Viện Tim mạch Việt Nam. Tạp Chí Tim Mạch Học Việt Nam. 2016(75+ 76):123-130.
Chen BL, Holt HR, Day JD, Stout CL, Veale W, Stokes GK, et al. Subintimal Angioplasty of Chronic Total Occlusion in Iliac Arteries: A Safe and Durable Option. Journal of Vascular Surgery. 2009;50(6):1531-1532.
Ko Y-G, Ahn C-M, Min P-K, Lee J-H, Yoon C-H, Yu CW, et al. Baseline characteristics of a retrospective patient cohort in the Korean vascular intervention society endovascular therapy in lower limb artery diseases (K-VIS ELLA) registry. Korean Circulation Journal. 2017;47(4):469-476.
Trang TH. Đánh giá kết quả sớm can thiệp qua da trong điều trị bệnh động mạch chi dưới mạn tính giai đoạn thiếu máu chi trầm trọng. Đại học Y Hà Nội, Hà Nội. 2014.
Giles KA, Pomposelli FB, Hamdan AD, Blattman SB, Panossian H, Schermerhorn ML. Infrapopliteal angioplasty for critical limb ischemia: relation of TransAtlantic InterSociety Consensus class to outcome in 176 limbs. Journal of vascular surgery. 2008;48(1):128-136.
Vĩnh ĐD, Thông PM. Kết quả ban đầu can thiệp nội mạch điều trị hẹp tắc mạn tính động mạch vùng dưới gối. Tạp chí Điện quang & Y học hạt nhân Việt Nam. 2013(11):442-450.
| Published | 29-12-2024 | |
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| Issue | No. 94 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.94.14 | |
| Keywords | Viêm tắc động mạch chi dưới mạn tính, can thiệp qua da Chronic lower extremity artery disease, Percutaneous intervention |
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