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Macau Periodical Index (澳門期刊論文索引)
- Author
- Liu, Changwei; Zheng, Yuehong; Guan, Heng; Li, Yongjun; Liu, Bao; Ye, Wei
- Title
- Combinative treatment of iliac stenting with profundoplasty for critical extremity ischemia
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2007年9月, Vol.7, No.3, pp. 168-170
- Link
- https://www.ssm.gov.mo/docs//2210/2210_5a8a30467cb7467f9d28d719e18bae54_000.pdf
- Keyword
- Arterial occlusive disease；Stent；Endovascular；Profundoplasty
- Abstract
- Objective: To study the combinative therapy of intraoperative iliac stenting with profoundoplasty for high-risk patients with critical extremity ischemia. Methods: From July 1999 to March 2004, 26 patients suffering from critical multi-level atherosclerotic occlusive disease (male 19 and female 7, 76 years old on average, totally 31 lower limbs involved) were treated with intraoperative iliac balloon angioplasty, stent deployment combined with simultaneous with profundoplasty. All the patients suffered from severe rest pain for. Mean preoperative ankle-brachial index (ABI) was 0.22±0.17. Results: 28 iliac balloon angioplasty and stent placement with simultaneous 31 profundoplasty and 3 femoral to femoral bypass were performed in the 31 limbs of 26 patients. Surgical procedures were technically successful in all of them. There was no postoperative mortality. Post-operative ABI was 0.41±0.15 (P<0.05). The mean follow-up duration was 28 months (range 2-56 months). During follow-up period, in one case it was performed balloon dilatation due to iliac restenosis and one had thigh amputation because of femoral thrombosis and leg acute gangrene. 2 cases died later from myocardial infarction and lung cancer respectively. Six had mild intermittent claudication. One of them presented rest pain again. Conclusion: Intraoperative iliac stenting combined with profundoplasty is a safe and effective treatment for those high-risk patients with severe, multilevel atherosclerotic occlusive disease. Paragraph Headings: 1. Clinical Materials 1.1. General data 1.2. Criteria for the case choice. Including criteria were according to the clinical symptoms and arteriography results as follows 2. Operative Precedure 2.1. Balloon angioplasty and stent deployment for stenosis or occlusion of iliac artery 2.2. Traditional femoral-popliteal or superior pubuc femoral-femoral bypass 2.3. Profoundoplasty 2.4. Dbridement and amputation 2.5. Postoperative management 3. Results 4. Discussion