2019, Número 1
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Revista Cubana de Angiología y Cirugía Vascular 2019; 20 (1)
Efectividad de la cirugía arterial en pacientes diabéticos en un período de cinco años
Bravo YCV, Savigne GWO, Aldama FA
Idioma: Español
Referencias bibliográficas: 50
Paginas: 1-19
Archivo PDF: 217.29 Kb.
RESUMEN
Introducción: La macroangiopatía diabética constituye un serio problema para los pacientes
que la portan y la cirugía revascularizadora constituye una alternativa de tratamiento.
Objetivo: Demostrar la efectividad de las cirugías arteriales realizadas en pacientes
diabéticos en un período de cinco años.
Métodos: Estudio descriptivo, retrospectivo, en 71 historias clínicas de pacientes portadores
de macroangiopatía diabética que recibieron cirugía arterial en el Instituto Nacional de
Angiología y Cirugía Vascular (enero/2011- diciembre/2015). Se analizaron las variables:
edad, género, color de la piel, supervivencia de la extremidad, estado de permeabilidad de
los injertos y frecuencia de fallecimientos, que en su conjunto medirán la efectividad de la
cirugía.
Resultados: Hubo un incremento lineal de las cirugías revascularizadoras. La edad media
fue de 64,5 ± 9,7 años, con un 67,6 % de mayores de 60 años y más del 60 % eran hombres.
El 52,9 % tenía piel blanca, el 80,3 % tuvo grado 4 según Fontaine y el 66,2 % tenía
oclusión arterial severa. En más del 90 % se realizó cirugía derivativa o endarterectomía, el
87,3 % tuvo afectado el sector infrainguinal y en el 64,8 % sobrevivió la extremidad. No se
registraron muertes perioperatorias ni fallecidos a los seis meses. El 63 % de las cirugías
fueron permeables a los seis meses.
Conclusiones: Las cirugías arteriales son efectivas pues la mayoría de los pacientes
mantienen la extremidad afectada y no se registran fallecimientos perioperatorios ni a los
seis meses de evaluación, además, la mayor cantidad de injertos resultaron ser permeables
en ese tiempo.
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