Results of endovascular interventions in acute lower limb ischemia
Journal Title: Серце і судини - Year 2019, Vol 0, Issue 2
Abstract
The aim — to analyze the results of the use of endovascular revascularization methods for acute lower limb ischemia (ALLI) caused by thromboses or embolisms of the lower limb arteries. Materials and methods. An evaluation of the results of revascularization with the use of endovascular interventions in 108 patients with ALLI was performed. Depending on the treatment method, patients were divided into two groups. The first group included 78 patients who had intra‑arterial catheter‑directed thrombolysis, the second group included 30 patients after percutaneous aspiration or mechanical thrombectomy. If hemodynamically significant residual stenoses of arteries which caused thrombosis remained after thrombolysis or percutaneous thrombectomy, balloon angioplasty or stenting were used. Results and discussion. Technical success was achieved in 73 % of patients who underwent thrombolysis. Endovascular or surgical interventions in addition to thrombolysis were performed in 45 % of patients. The number of perioperative complications was 27 %, of which hemorrhagic — 14 %, including intracranial hemorrhages — 3 %. The number of larger amputations was 21 %, mortality — 8 %. The technical success of aspiration thrombectomy was 83 %, mechanical thrombectomy — 100 %. In most cases additional endovascular interventions were required to eliminate residual stenoses. Conclusions. Endovascular revascularization is an effective method for the treatment of acute lower limb ischemia. Majority of patients after thrombolysis and percutaneous thrombectomy have residual stenotic lesions of arteries which caused thrombosis and require additional endovascular or surgical treatment.
Authors and Affiliations
A. B. Babynkin, V. V. Boyko, O. I. Pityk
Keywords
Related Articles
- EP ID EP608214
- DOI 10.30978/HV2019-2-52
- Views 118
- Downloads 0
Reconstructive operations on pedal arteries in the treatment of critical limb ischemia
The aim — to analyze results of reconstructive operations on pedal arteries in patients with critical limb ischemia (CLI). Materials and methods. From January 2008 to September 2017 in the Department of Vascular Surgery...
Influence of correction of secondary hyperparathyroidism on the pulse wave indicators and mineral density of bone tissue in middle‑aged women with uncomplicated arterial hypertension
The aim — to assess the effect of correction of secondary hyperparathyroidism on the background of deficiency and insufficiency of 25 (OH) vitamin D on the parameters of central blood pressure (BP) and pulse wave, bone m...
New guidelines for treating hyperdyslipidemia on both sides of the Atlantic: what has changed?
_
Risk of heart rhythm disorders in patients with chronic obstructive pulmonary disease, combined with ischemic heart disease during computer spirography
The aim — to evaluate the safety of spirography with bronchodilation test in patients with a combination of stable ischemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD). Materials and methods. 14...
The case of diagnosis of the left and right atria giant myxomas
A rare case of the simultaneous left and right atria giant myxomas is reported in the article. A short review of epidemiologic, morphologic and genetic features of these benign tumors is submitted in the issue. The clini...