KẾT QUẢ CAN THIỆP NỘI MẠCH ĐIỀU TRỊ TẮC HẸP ĐỘNG MẠCH ĐÙI – KHOEO TASC B

Abstract

Objectives: Evaluation of  endovascular  interventional results in treatment of TASC B femoral-popliteal arterial occlusion. Methods: Retrospective - case series deciptive study conducted at Cardiovascular and Thoracic Surgery Department, Thong Nhat Hospital. Ho Chi Minh city. Results: From Oct 2022 to Oct 2023, there were 58 cases of chronic arterial occlusion of lower extremities TASC B treated with revascularization by endovascular intervention, average age was 76 ± 10 (42-93); male /female: 40/18; Location of injuries: 36 cases (62.1%) superficial femoral artery, 16 cases (27.6%) popliteal artery, 6 cases (10.3%) 1/3 superior superficial femoral artery and below the knee. Intervention methods: 51 cases (87.8%) antegrade, 7 cases (12.1%) antegrade combined with retrograde. Average intervention time 132.6 ± 28.4; 2 cases (3.45%) complications of hematoma at the needle puncture site, which self-limited after compression bandage. The overall technical success rate in the study group was 54/58, equivalent to 93.1%. The study sample had 11 limbs with ulcers and necrosis before intervention, after 6 months of follow-up, 8 limbs (72,7%) had healed ulcers, 2 limbs had not healed but the wound size had decreased significantly, 1 patient had to above the ankle amputation. Conclusion: Endovascular intervention in recanalization of TASC B femoral-popliteal artery occlusion has a highly successful technical result (93.1%), femoral-popliteal arterial lesion has a 100% success rate. Endovascular intervention in treatment of TACS B classification showed low complications, and significant improvement in clinical symptoms.