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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 177
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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

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