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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2018, Number 2

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Rev Mex Angiol 2018; 46 (2)

Niveles de lactato capilar en extremidades con insuficiencia arterial aguda, previo y posterior a revascularización abierta. Estudio de serie de casos

Gómez-Romo JR, Llamas-Macías FJ, Nuño-Escobar C, Calderón-Llamas MA, Valdespino-Mendoza CS, Armendáriz-López JA, Bejarano-Lara J

Language: Spanish
References: 16
Page: 61-67
PDF size: 174.76 Kb.


ABSTRACT

Objective. To determine capillary lactate levels in extremities with acute arterial insufficiency prior to revascularization, at 30 and 120 min after revascularization.
Material and methods. A case series study was carried out in the Angiology and Vascular Surgery Service of the Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social. A capillary lactate measurement was performed prior to surgery for the patients included in the study, 30 and 120 min after revascularization of the affected limb.
Results. We analyzed 30 cases of acute arterial insufficiency, 10 of upper limbs and 20 of lower extremities. The mean capillary lactate found in the upper extremities during the initial assessment was 4.5 ± 1.8 mmol/L, at 30 min at 3.1 ± 1.1 mmol/L and at 2 h at 2.5 ± 1.2 mmol/L. The decrease in lactate observed in these patients was not statistically significant. In the lower extremities, the mean capillary lactate during the initial assessment was 7.8 ± 2.4 mmol/L, 30 min after 4.8 ± 1.1 mmol/L and at 2 h 4.3 ± 1.1 mmol/L, its decrease being statistically significant.
Conclusions. Capillary lactate shows immediate changes after revascularization, so it could be useful to determine the success of the procedure, when re-occlusion or non-reflux syndrome is suspected. There was evidence of statistically significant decreases in lower extremities.


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