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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2013, Number 4

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Rev Mex Angiol 2013; 41 (4)

Angioplastia percutánea infrapoplítea en pacientes con isquemia crítica en el Servicio de Angiología, Cirugía Vascular y Endovascular. CMN 20 de Noviembre, ISSSTE

Lecuona-Huet NE, Rodríguez-Trejo JM, Rodríguez-Ramírez N, Escotto-Sánchez I

Language: Spanish
References: 20
Page: 198-208
PDF size: 341.81 Kb.


ABSTRACT

Objective: To evaluate the results of percutaneous angioplasty for critical lower limb ischemia by determining the percentage of limb salvage, wound healing and efficiency in controlling pain.
Material and methods: We perfomed a prospective analytical study that included all patients who underwent percutaneous infrapopliteal angioplasty from March 2009 to June 2011 in the Department isqueof Angiology, Vascular and Endovascular Surgery, at the Centro Médico Nacional 20 de Noviembre, ISSSTE. Twenty-three patients were evaluated to the study. Sixteen patients were included and 7 eliminated because an angioplasty was perfomed in a proximal arterial segment. It was assessed the pain intensity pre-treatment, with the visual analogue scale (VAS). Angiographic findings were classified according to Jenali’s Classification, and followed the intervention protocol established. Evaluation was permed at a week, 3 an 6 months post procedure evaluating pain intensity with VAS, wound condition and limb salvage.
Results: Minor amputations were done in 3 patients during the same surgical procedure and 6 more during follow-up. At 6 months 75% (n = 12) of patients had a proper evolution of the wound. A major amputation was performed at three months due to critical ischemia, with limb salvage in 94% of patients at 6 months. Another important outcome was the diminishment of pain. From a 7-10 VAS to a 0- 2 at six months (p = 0.045).
Conclusions: The percutaneous infrapopliteal angioplasty is a minimally invasive and effective way to reduce pain, and improve quality of life, promote healing of a wound or limb salvage.


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