Treatment results in patients with acute limb ischemia

Authors

  • V. A. Gubka
  • I. A. Konovalenko
  • O. V. Suzdalenko

DOI:

https://doi.org/10.14739/2310-1237.2015.2.50813

Keywords:

Ischemia, Thrombosis, Amputation, Thromboembolism

Abstract

Aim. Acute limb ischemia (ALI) is one of the most serious subjects for life quality declining and often results in patients’ disability. The incidence of ALI increases from year to year and currently counts about 50 to 100 cases per 100 000 persons in EU and USA.

Methods and results. 188 cases were studied, 61% male, 39% female. The average age was 66,8±4,2 years. Among clinical events that caused ALI were atherothrombosis in 90 (47,87%) patients, embolisms in 92 (48,94%) cases, acute thrombosis of bypass graft in 6 (3,19%) patients.

Conclusion. Limb salvage rate in patients after complex revascularization surgery was 100%. Thus we can state, that thrombectomy with following one stage angioplasty or bypass grafting improves clinical outcomes and limb salvation rate in patients with ALI.

References

Troickij, A. V. & Chupin, A. V. (Eds) (2013) Nacional'nye rekomendacii po vedeniyu pacientov s zabolevaniyami arterij nizhnikh konechnostej [National guidelines for the management of patients with diseases of the arteries of the lower extremities]. Moscow. [in Russian].

(2007) Rekomendacii Rossijskogo obschestva angiologov i sosudistykh khirurgov: Diagnostika i lechenie bol'nykh s zabolevaniyami perifericheskikh arterij [Recommendations of the Russian Society of Angiology and Vascular Surgery: Diagnosis and treatment of patients with peripheral arterial disease]. Moscow. [in Russian].

Pozzi, A. O., Bernardo, E., Coronado, M. T., Punchard, M. A., González, P., & Fantidis, P. (2009) Acute Arterial Thrombosis in the Absence of Inflammation: The Stress-Related Anti-Inflammatory Hormone Acth Participates in Platelet-Mediated Thrombosis. Atherosclerosis, 204(1), 79–84. doi: 10.1016/j.atherosclerosis.2008.08.023.

Davies, B., Braithwaite, B. D., Birch, P. A, Poskitt, K. R., Heather, B. P., Earnshaw, J. J. (1997) Acute leg ischaemia in Gloucestershire. Br J Surg., 504(8), 846. 10.1046/j.1365-2168.1997.02601.x/

Egorova, N. N., Guillerme, S., Gelijns, A., Morrissey, N., Dayal, R., McKinsey, J. F., & Nowygrod, R. (2010) An analysis of the outcomes of a decade of experience with lower extremity revascularization including limb salvage, lengths of stay, and safety. Journal of Vascular Surgery, 51(4), 878–885. doi: 10.1016/j.jvs.2009.10.102.

Catalano, M. (1993) Epidemiology of critical limb ischemia: north Italian data. Eur J Med., 2(1), 11–14.

Eskelinen E., Lepäntalo M., Hietala E.M., Sell, H., Kauppila, L., Mäenpää, I., et al. (2004) Lower Limb Amputations in Southern Finland in 2000 and Trends up to 2001. Eur J Vasc Endovasc Surg., 27(2), 193–200. doi: http://dx.doi.org/10.1016/j.ejvs.2003.10.011.

Goodney, P. P., Beck, A.W., Nagle, J., Welch, H. G., Zwolak, R. M. (2009) National trends in lower extremity bypass surgery, endovascular interventions, and major amputations. Journal of Vascular Surgery, 50(1), 54–60. doi: 10.1016/j.jvs.2009.01.035.

Rowe, V. L., Lee, W., Weaver, F. A., & Etzioni, D. (2009) Patterns of treatment for peripheral arterial disease in the United States: 1996–2005. Journal of Vascular Surgery, 49(4), 910–917. doi:10.1016/j.jvs.2008.11.054.

Kempe, K., et al (2005) Results of surgical management of acute thromboembolic lower extremity ischemia. J Vasc Surg., 60(3), 702–707.

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How to Cite

1.
Gubka VA, Konovalenko IA, Suzdalenko OV. Treatment results in patients with acute limb ischemia. Pathologia [Internet]. 2015Oct.8 [cited 2024Nov.8];(2). Available from: http://pat.zsmu.edu.ua/article/view/50813

Issue

No. 2 (2015)

Section

Original research

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