OUTCOME OF BELOW THE KNEE ARTERITES ENDOVASCULAR RECANALIZATION IN PATIENTS WITH CRITICAL LIMB ISCHEMIA AT THE STAGE V, VI BY RUTHEFORD CLASSIFICATION

Quang Thứu Lê, Đỗ Nhân Nguyễn, Đình Thanh Lê

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Abstract

Objectives: Clinical, subclinical features of thrombophlebitis of the strtum artetiris below the knee with complications of tissue loss; Results of endovascular intervention treatment. Methodology: A retrospective description of endovascular intervention treatment of artetiris below the knee thrombophlebitis with tissue loss complications at Thong Nhat hospital from 03/2021 to 03/2023. Result: 41 patients, male/female ratio is 26/15. Divided into 2 lesions: under pillow and  the multi-stage and pillow. The group of multi-stage lesion accounted for a high rate (60.9%). TASC II C, D accounted for the majority (34.1%, 56.1%). Average endovascular intervention time takes 65.8 + 25 minutes. Technically successful are 75.6% after intervention and 68.3% after 06 months. Average results, good 78.1% discharged, 70.7% after 06 months. Complications: 02 infections at the intervention site, 02 hematomas at the catheter site, 01 pseudoaneurysm at the intervention site, 01 embolis, 06 progressive renal failure responding to treatment, 01 reperfusion amputation, 01 Death from multible diseases. Conclusion: Chronic thrombophlebitis below the knee tissue loss is a severe stage with diverse charatertistics; Endovascular interventional treatment achieves positive results. Prevalence of complications similar to other studies.

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References

Lê Đức Dũng (2012). “Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và hiệu quả điều trị bệnh lý viêm tắc động mạch chi dưới bằng phương pháp can thiệp nội mạch”. Luận văn bác sỹ chuyên khoa cấp II, Học viện quân y.
2. Trần Đức Hùng (2016). “Nghiên cứu hiệu quả điều trị bệnh nhân bị bệnh động mạch chi dưới mạn tính bằng phương pháp can thiệp nội mạch”. Luận án tiến sỹ y học, Học viện quân y
3. V. Aboyans, J. B. Ricco et al. (2017). "2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)". Eur J Vasc Endovasc Surg.
4. A. J. Meltzer, G. Evangelisti, A. R. Graham et al. (2014). "Determinants of outcome after endovascular therapy for critical limb ischemia with tissue loss". Ann Vasc Surg, 28(1), pp. 144-151.
5. J. A. Mustapha, S. M. Finton, L. J. Diaz-Sandoval et al. (2016). "Percutaneous Transluminal Angioplasty in Patients with Infrapopliteal Arterial Disease: Systematic Review and Meta-Analysis". Circ Cardiovasc Interv, 9(5), pp. e003468.
6. O. Iida, S. Nanto, M. Uematsu et al. (2010). "Importance of the angiosome concept for endovascular therapy in patients with critical limb ischemia". Catheter Cardiovasc Interv, 75(6), pp. 830-836.
7. Sobieszczyk et al (2013). "Management of patients after endovascular interventions for peripheral artery disease". Circulation, 128(7), 749-757.
8. Tasc Steering Committee, M. R. Jaff, C. J. White et al. (2015). "An Update on Methods for Revascularization and Expansion of the TASC Lesion Classification to Include Below-the-Knee Arteries: A Supplement to the Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II)", J Endovasc Ther, 22(5), pp. 663-677.