CHIẾN LƯỢC TÁI THÔNG MẠCH MÁU TRONG ĐIỀU TRỊ BỆNH LÝ TẮC HẸP ĐỘNG MẠCH CHI DƯỚI ĐA TẦNG CÓ LOÉT CHI TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Background: Multilevel peripheral arterial disease is challenging for physicians. Complete revascularization in theses patients is not always possible. For the multilevel peripheral arterial disease patients with foot ulcer, should we always have to achieve complete revascularization to augment blow flow to the foot, reduce healing time and improve limb presevation rate? Purpose: - Compare early and mid-term results between two groups of multilevel peripheral arterial disease patients with foot ulcer: complete revascularization and incomplete revascularization. - Propose revascularization strategy for this patient’s category. Patients and methods: Prospective descriptive series cases of multilevel PAD patients with foot ulcer under revascularization at Vascular surgery department, Cho Ray Hospital. Results: Mean age was 74 years. Most of patient is male with following frequent risk factors: Dyslipidemia, hypertension and diabetes. After revascularization, patients in complete revascularization improved markedly when comapre with incomplete revascularization group. But when compare early and mid-term results, there were no statiscal significance difference about healing time and limb preservation between these two strategies. Conclusion: For multilevel peripheral arterial disease patients with foot ulcer, we should revascularization for inflow lesion first then observe. If there is no improvement we continue to revascularization for outflow lesion.