ĐÁNH GIÁ KẾT QUẢ CAN THIỆP NỘI MẠCH ĐIỀU TRỊ HẸP ĐỘNG MẠCH CHẬU ĐÙI MẠN TÍNH CÓ THIẾU MÁU CHI TRẦM TRỌNG

Abstract

Overview: Chronic limb – threatening ischemia is associated with increased mortality, risk of amputation and impaired quality of life. Lower extremity bypass is a traditional surgery for combined ilio-femoral lesions. Endovascular intervention is a new trending treatment for this disease. Objectives: The outcomes of endovascular intervention for chronic ilio-femoral artery stenosis with chronic limb – threatening ischemia. Methods: A retrospective study was conducted to identify the cases who underwent endovascular intervention for chronic ilio – femoral artery stenosis with chronic limb – threatening ischemia, at Cho Ray Hospital from January 2016 until February 2020. Results: Total 43 patients ( 45 interventional limbs) with mean age of 71.4 ± 10.9, majority male, were enrolled. All patients were diagnosed with chronic limb – threatening ischemia stage, total TASC C,D lesions accounted for 77.8% and 82.2% in iliac and femoral artery respectively. Revascularization was successfully on 93.3% lesions, complication rates was 11.1%. The follow-up time was 12 months, clinical success was 94.7%, hemodyamic success was 89.5%, survival rate was 92.5%, limb salvage rate was 97.6%. Conclusion: Endovascular intervention for chronic ilio-femoral artery stenosis with chronic limb – threatening ischemia has a high success rate and safety.