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Investigating the success rate and complications of hybrid revascularization surgical technique in treating multi-level critical limb ischemia
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Mohammad Sadegh Esmaeeli Delshad   , Hossein Hemmati * , Reza Kayhany , Saeed Yousefi , Mohammad Taghi Ashobi , Habib Eslami-Kenarsari  , Zakiyeh Jafaryparvar |
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Abstract: (275 Views) |
Abstract:
Peripheral artery disease is a disease that leads to obstruction of blood flow in arteries, especially coronary arteries. Hybrid Rascularization Surgery Technique is one of the methods in the treatment of critical limb ischemia in people with peripheral arterial disease.In a case series study of patients who had peripheral vascular occlusion from 2016 to 2021 and referred to Razi Medical Center in Rasht and were treated with a hybrid procedure by CFA arterial endartectomy and simultaneous Inflow & Outflow angioplasty, a checklist included Age, sex, local complications, exacerbation of ischemia, inflow artery involvement, outflow artery involvement, blood flow success rate, symptom success rate, and wound healing rate were collected.Sixteen patients were studied during this period, of which 13 were male and 3 were female. Their mean age was 67.75 ±10.55 years and the youngest person was 47 years old and the oldest person was 86 years old. 2 patients had only Inflow involvement, 8 patients had only Outflow involvement and 6 patients had both Inflow and Outflow involvement. Of the 16 patients studied, 1 patient did not present after surgery and the information on the success or failure of their surgery is not known, but of the other 15 patients, 13 patients (87%) had their wounds healed and their surgery was successful.In our study, the majority of patients (13 out of 15 patients) had technically successful vascular surgery, which is a significant success in terms of mortality and morbidity compared to open surgery according to other studies. In aortic and lower extremity stenosis, with this procedure, the mortality and morbidity rates are low and the success rate is high. It is also an acceptable method due to shortening the duration of surgery and the time of hospitalization of the patient and not opening the abdomen.
Keywords: Peripheral artery disease, critical limb ischemia, hybrid vascularization |
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| Keywords: Peripheral artery disease, critical limb ischemia, hybrid vascularization |
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Full-Text [PDF 349 kb]
(131 Downloads)
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Original articles: Original articles |
Subject:
General
Received: 2022/01/10 | Accepted: 2021/06/16 | Published: 2021/06/16
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