Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter ISSN: 1584 - 9341
Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 18 ianuarie 2021
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English| Romana
Creditare EMC Colegiul Medicilor
Syndicate
THERAPEUTIC APPROACH IN CRITICAL LIMB ISCHEMIA Roberta Brănişteanu (1*), M. D. Datcu (2), R. Popa (3), Viviana Aursulesei (2) (*) PhD student “Gr.T.Popa” University of Medicine and Pharmacy Iaşi (1) Emergency Department (2) “C.I.Negoiţă” Cardiology Clinic I (3) Vascular Surgery Clinic St Spiridon University Hospital Iaşi “Gr.T.Popa” University of Medicine and Pharmacy Iaşi Jurnalul de chirurgie 2011; 7 (4): 615-622 Full text: Format PDF (Română/Romanian)
Abstract:
Critical limb ischemia is the most severe manifestation of peripheral arterial disease. The gold of this study is to assess the prevalence of risk factor, associated comorbidities and therapeutic approach in a group of patients hospitalized in the Medical Clinic with critical limb ischemia. Material and methods: During 2005 – 2010, were evaluated 1301 patients diagnosed with critical limb ischemia performing ankle-brachial index and arteriography. Results: I evaluated the treatment received by patients: 100% aggressive therapy to modify atherosclerotic risk factors, 99% antiplatelet therapy, 100% vasodilator treatment, 94% administration of analgesics, 12,75% treatment of infection, 1,2% thrombolytic therapy, 55% surgical bypass, 7% percutaneous transluminal angioplasties, 6% lumbar sympathectomy, 32% risk of amputation. Conclusions: There is a tardive diagnosis for peripheral arterial disease, related with advanced clinical status and fewer opportunities for treatment. It is strongly necessary to create an integrated system for prevention, active detection and aggressive therapy for peripheral arterial disease.
KEY WORDS: PERIPHERAL ARTERIAL DISEASE, ANGIOPLASTY, SURGERY
Correspondence to: Roberta Brănişteanu, MD, Emergency Department, St Spiridon University Hospital Iaşi, Bd. Independenţei, nr. 1, 700111, Iaşi, e-mail: