ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TỔN THƯƠNG TRÊN HÌNH ẢNH CHỤP MẠCH CỦA BỆNH NHÂN CÓ TỔN THƯƠNG VỮA XƠ ĐỘNG MẠCH CHẬU MẠN TÍNH

Abstract

Objectives: to describe clinical, angiographic characteristics of chronic iliac artery lesions. Subjects and methods: a descriptive study on 75 patients with chronic occlusion of the iliac arteries who were treated at the Heart Institute - Bach Mai Hospital from September 2016 to December 2019. Results: Average age was 69.3 ± 9.9 (years), male accounted for 93.3%, hypertension accounted for 72%, smokers accounted for 38.7%, diabetes accounted for 37.3%. Leg ulcer lesions accounted for 29.3%, average ABI 0.3 ± 0.27, ABI ± 0.4 accounted for 69.3%. Injury characteristics on lower extremity vascular ultrasound: iliac artery lesions alone (31.2%), combined with popliteal floor (25.0%), on vascular CT scan: arterial lesions iliac alone (26.1%), combined lesions of the thigh and popliteal floor (28.1%). On angiogram: iliac artery injury alone (33.3%), combined injury to popliteal iliac artery (37.5%). TASC D (34.7%). Conclusions: Chronic atherosclerotic iliac lesions cause high lower extremity ischemic consequences with complex clinical and angiographic characteristics.