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Date Published: 17/10/2024
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DOI: https://doi.org/10.51298/vmj.v543i2.11386
Issue
Vol. 543 No. 2 (2024)
Section
Các bài báo
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Dương, Đức H., Phạm, Q. H., Phùng, D. H. S., Nguyễn, D. T., & Dương, N. T. (2024). THE OUTCOMES OF THE SURGICAL TREATMENT FOR LOWER LIMBS ISCHEMIA DUE TO AORTA-ILIAC OCCLUSIVE DISEASES AT VIET DUC UNIVERSITY HOSPITAL DURING THE PERIOD FROM 2015 TO 2023. Vietnam Medical Journal, 543(2). https://doi.org/10.51298/vmj.v543i2.11386

THE OUTCOMES OF THE SURGICAL TREATMENT FOR LOWER LIMBS ISCHEMIA DUE TO AORTA-ILIAC OCCLUSIVE DISEASES AT VIET DUC UNIVERSITY HOSPITAL DURING THE PERIOD FROM 2015 TO 2023

Đức Hùng Dương, Quốc Hoa Phạm, Duy Hồng Sơn Phùng, Duy Thắng Nguyễn, Ngọc Thắng Dương

Main Article Content

Abstract

Purpose: To evaluate the surgical outcomes in the treatment of aorta-iliac occlusive diseases (AIOD) at Viet Duc University Hospital during the period of 2015 to 2023. Patients and methods: This was a retrospective descriptive study of patients with chronic lower limb ischemia due to AOID who underwent surgical treatment at Cardiovascular and Thoracic Center, Viet Duc University Hospital, from January 2015 to May 2023. Results: There were 60 patients included in the study. Male accounted for 95,0% of the patients, with an average age of 64.6 ± 9.0 years. Among them, 30(50,0%) had a history of smoking, and 29(48.3%) had hypertension. Claudication was the main reason for hospital admission in 86.7% of patients. 39 (65,0%) patients were in stage III and 21 (35,0%) in stage IV ischemia. All patients underwent MSCT angiography to conform diagnosis. Aorto-bifemoral bypass using synthetic grafts was the most frequently performed procedure, conducted in 45 (75,0%) patients. There were 3 (5,0%) deaths within 30 days post-surgery. Overally, postoperative ischemic symptoms showed significant improvement. Conclusion: The majority of patients with chronic lower limb ischemia due to AIOD are male (95,0%), elderly, with a history of smoking and hypertension. Patients often present to the hospital late, and MSCT angiography is an important diagnostic method. Surgical interventions yield good outcomes

Article Details

Keywords

Aorto-iliac occlusive disease, Chronic lower limb ischemia, Viet Duc University Hospital.

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