Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea

Background: Chronic limb ischemia can lead to high rates of limb loss and mortality. Open surgery is the gold standard for treatment of distal disease. Endovascular surgery should have less complications with similar outcomes. Aim: To report a cohort of patients with distal arterial disease treate...

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Autores principales:	Torrealba,J. Ignacio, Vargas,J Francisco, Mariné,Leopoldo A., Bergoeing,Michel P, Mertens,Renato A, Valdés,Francisco J.
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Angioplasty Endovascular Procedures Limb Salvage Lower Extremity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201734
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spelling	oai:scielo:S0034-988720200012017342021-04-04Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporáneaTorrealba,J. IgnacioVargas,J FranciscoMariné,Leopoldo A.Bergoeing,Michel PMertens,Renato AValdés,Francisco J. Angioplasty Endovascular Procedures Limb Salvage Lower Extremity Background: Chronic limb ischemia can lead to high rates of limb loss and mortality. Open surgery is the gold standard for treatment of distal disease. Endovascular surgery should have less complications with similar outcomes. Aim: To report a cohort of patients with distal arterial disease treated with endovascular surgery at our institution. Material and Methods: Review of angioplasty records of patients undergoing distal lower extremity endovascular procedures between 2016 and 2019. Demographics, comorbidities, form of presentation, type of intervention, perioperative complications, and length of stay were analyzed. The primary outcomes were wound healing, reinterventions and freedom from major amputation. Secondary outcomes were overall survival and amputation-free survival. Results: Forty-eight limbs of 41 patients with a mean age 75 years (78% males) were treated. Ninety-three percent had hypertension, 88% diabetes, 30% chronic kidney disease. 73% presented with major wounds. Plain balloon and drug coated balloon angioplasties were carried out in 65 and 31% of procedures respectively, with no difference in results. In 46% of the cases, only chronic total occlusions were treated. Wound healing was achieved in 85% of procedures and 90% of patients were free from amputation at one year of follow up. Complications were observed in 18% of procedures, perioperative mortality was 2% and one-year survival was 76%. Conclusions: Endovascular therapy achieves high rates of wound healing and freedom from amputation with low perioperative mortality and moderate complication rates.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.12 20202020-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201734es10.4067/S0034-98872020001201734
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Angioplasty Endovascular Procedures Limb Salvage Lower Extremity
spellingShingle	Angioplasty Endovascular Procedures Limb Salvage Lower Extremity Torrealba,J. Ignacio Vargas,J Francisco Mariné,Leopoldo A. Bergoeing,Michel P Mertens,Renato A Valdés,Francisco J. Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
description	Background: Chronic limb ischemia can lead to high rates of limb loss and mortality. Open surgery is the gold standard for treatment of distal disease. Endovascular surgery should have less complications with similar outcomes. Aim: To report a cohort of patients with distal arterial disease treated with endovascular surgery at our institution. Material and Methods: Review of angioplasty records of patients undergoing distal lower extremity endovascular procedures between 2016 and 2019. Demographics, comorbidities, form of presentation, type of intervention, perioperative complications, and length of stay were analyzed. The primary outcomes were wound healing, reinterventions and freedom from major amputation. Secondary outcomes were overall survival and amputation-free survival. Results: Forty-eight limbs of 41 patients with a mean age 75 years (78% males) were treated. Ninety-three percent had hypertension, 88% diabetes, 30% chronic kidney disease. 73% presented with major wounds. Plain balloon and drug coated balloon angioplasties were carried out in 65 and 31% of procedures respectively, with no difference in results. In 46% of the cases, only chronic total occlusions were treated. Wound healing was achieved in 85% of procedures and 90% of patients were free from amputation at one year of follow up. Complications were observed in 18% of procedures, perioperative mortality was 2% and one-year survival was 76%. Conclusions: Endovascular therapy achieves high rates of wound healing and freedom from amputation with low perioperative mortality and moderate complication rates.
author	Torrealba,J. Ignacio Vargas,J Francisco Mariné,Leopoldo A. Bergoeing,Michel P Mertens,Renato A Valdés,Francisco J.
author_facet	Torrealba,J. Ignacio Vargas,J Francisco Mariné,Leopoldo A. Bergoeing,Michel P Mertens,Renato A Valdés,Francisco J.
author_sort	Torrealba,J. Ignacio
title	Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
title_short	Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
title_full	Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
title_fullStr	Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
title_full_unstemmed	Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
title_sort	manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201734
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Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea

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