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Date Published: 12/09/2024
Abstract Views: 163
Views PDF: 110
DOI: https://doi.org/10.51298/vmj.v542i1.10933
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Vol. 542 No. 1 (2024)
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Các bài báo
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Lâm, V. N., & Trịnh, V. N. (2024). MID-TERM OUTCOMES OF MULTILEVEL LOWER LIMB ARTERY STENOSIS AND OCCLUSION TREATMENT USING ENDOVASCULAR INTERVENTION. Vietnam Medical Journal, 542(1). https://doi.org/10.51298/vmj.v542i1.10933

MID-TERM OUTCOMES OF MULTILEVEL LOWER LIMB ARTERY STENOSIS AND OCCLUSION TREATMENT USING ENDOVASCULAR INTERVENTION

Văn Nút Lâm, Vũ Nghĩa Trịnh

Main Article Content

Abstract

Objective: To evaluate the efficacy of endovascular intervention for TASC IIB CLI in Cho Ray Hospital. Methods: A non-randomized, before-and-after interventional study was conducted on 70 patients with TASC IIB CLI. Results: 90% of patients improved clinically even with partial revascularization, with an average increase in ankle-brachial index (ABI) of 0.25. Periprocedural complication rate: 5.7%, Periprocedural limb amputation rate: 4.3%, Periprocedural mortality rate: 5.7%, amputation rate after 2 years of follow-up: 14.3%. Mortality rate after 2 years of follow-up: 25.7%. Most common causes of death were acute myocardial infarction and geriatric frailty. Conclusion: Endovascular intervention is an effective treatment for CLI. Endovascular intervention can improve clinical outcomes and reduce the amputation rate in patients with critical limb ischemia, even when only partial revascularization of the lesion is achieved.

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References

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