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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2005, Number 1

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Rev Mex Angiol 2005; 33 (1)

Limb salvage in infrainguinal in vascular resvacularization procedures

Sánchez NNE, Serrano LJA, Cossío ZA, Mayor TIC, Rodríguez AE, Huerta HH, Nuricumbo VA, Anaya AB, Meza VMA, Rosas FMA

Language: Spanish
References: 23
Page: 13-17
PDF size: 103.82 Kb.


ABSTRACT

Purpose: The infrainguinal revascularization procedures provide an option for limb salvage in patients with critical ischemia, we report our results in the Hospital Lic. Adolfo López Mateos.
Methods: We analyzed the patients who were subject to infrainguinal revascularization procedures from February 1999 to July 2002. We included 52 patients, 31 male patients (60%) with median age of 70 years old, average time of follow-up 15 months; the comorbidities were: diabetes mellitus 75%, arterial hypertension 46%, ischemic coronary disease 17%, renal failure 6%, and smoking in 48%. The test used for statistical analysis were: chi square, Fisher exact test, t Student and Kaplan Meier. The results were analyzed according to the limb salvage.
Results: From the 52 revascularization procedures, 63% were performed with saphenous vein (11.5% with saphena in situ and 52% with reversed saphenous). 35% were performed with synthetic graft (PTFE) and 2% complex. The type of bypass performed were: femoropopliteal 77%, femoro-tibial 21% and popliteal-tibial anterior 2%. The surgical indication for bypass procedure was: rest pain 38.5%, gangrenous tissue 42%, and ischemic ulcers 19.2%. Major amputations were performed in 31%, and minor amputations in 6%. The percentage of limb salvage was 70% and mortality 13%.
Conclusions: The infrainguinal revascularization procedures in our experience provide a limb salvage of 70%. The comorbid diseases, the advanced stage of ischemic disease and the availability of human and technical resources contribute to this percentage.


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