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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 118
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DOI: https://doi.org/10.55046/vjrnm.11.294.2013
Issue
No. 11 (2013)
Section
Scientific research
How to Cite
Dao, D. V., & Pham, M. T. (2022). Short-term results of endovascular intervention in the treatment below-the-knee chronic arterial occlusion. Vietnamese Journal of Radiology and Nuclear Medicine, 11, 442-450. https://doi.org/10.55046/vjrnm.11.294.2013

Short-term results of endovascular intervention in the treatment below-the-knee chronic arterial occlusion

Dao Danh Vinh1, Pham Minh Thong1,
1 Bach Mai Hospital

Main Article Content

Abstract

SUMMARY


Purpose: evaluation of short-term results of endovascular
intervention in treatment of below-the-knee chronic arterial occlusion.
Method and materials: Prospective studies, group of 32 patients with critical limb ischemia due to peripheral arterial diseases were admitted Bach Mai hospital from 9/2011 to 8/2012. The follow up mean times is 6.5 months.
Results: 32 patients with 65 arteries were treated by endovascular intervention. Pre-procedure’s ABI is 0.64±0.19. The length of lesion is 171.6 ± 32.5 mm. There is 13.3 % retrograde arterial access at tibial arteries in combination with antergrade access at CFA. Subintimal angioplasty rate is 84.8%. The overall technical success rate is 81.5%. Post-procedure, the along arterial pain is 87.5% with mean duration is 4.5 days, the soft tissue edema rate because of arterial congestion is 30% with mean duration 7.5 days. The fi rst week post-procedure ABI is 0.84±0.22. In the follow up duration, the re-intervention is 9.2%, overall limb salvation is 87.5%.
Conclusion: endovascular intervention of arterial chronic occlusion is minimal invasive, safety and effective in revascularization of BTK regions, it has important role in reducing the amputation rate of lower limbs.

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References

TÀI LIỆU THAM KHẢO
1. Dormandy JA, Rutherford RB. Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg. Jan 2000;31(1 Pt 2):S1-S296.
2. Norgren L, Hiatt WR, Dormandy JA, et al. Inter- Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33 Suppl 1:S1-75.
3. Allie DE, Hebert CJ, Lirtzman MD, et al. Critical limb ischemia: a global epidemic.A critical analysis of current treatment unmasks the clinical and economic costs of CLI. EuroIntervention. May 2005;1(1):75-84.
4. Nehler MR, Coll JR, Hiatt WR, et al. Functional outcome in a contemporary series of major lower extremity amputations. J Vasc Surg. Jul 2003;38(1):7-14.
5. Landry GJ. Functional outcome of critical limb ischemia. J Vasc Surg. Jun 2007;45 Suppl A:A141-148.
6. Boyer L, Therre T, Garcier JM, et al. Infrapopliteal percutaneous transluminal angioplasty for limb salvage. Acta Radiol. Jan 2000;41(1):73-77.
7. Wiechmann BN. Tibial intervention for critical limb ischemia. Semin Intervent Radiol. Dec 2009;26(4):315-323.
8. Fowkes FG, Housley E, Cawood EH, Macintyre CC, Ruckley CV, Prescott RJ. Edinburgh Artery Study: prevalence of asymptomatic and symptomatic peripheral arterial disease in the general population. IntJ Epidemiol. Jun 1991;20(2):384-392.
9. Hauser H, Bohndorf K, Wack C, Tietze W, Wolfl e KD, Loeprecht H. [Percutaneous transluminal angioplasty (PTA) of isolated crural arterial stenoses in critical arterial occlusive disease]. Rofo. Mar 1996;164(3):238-243.
10. London NJ, Varty K, Sayers RD, Thompson MM, Bell PR, Bolia A. Percutaneous transluminal angioplasty for lower-limb critical ischaemia. Br J Surg. Sep 1995;82(9):1232-1235.
11. Schwarzwalder U, Zeller T. Below-the-knee revascularization. Advanced techniques. J Cardiovasc Surg (Torino). Oct 2009;50(5):627-634.