De La Paz-García Y, Montero-Baker M, Cabezas-Loría J, Guevara-Ospino G, Jiménez-Juárez R, Morelli-Guillén L

Language: Spanish
References: 15
Page: 119-123
PDF size: 290.96 Kb.

ABSTRACT

Objectives: Evaluate the clinical evolution of a randomized group of diabetic patients, treated with endovasacular revascularization, in a period of one year. Methodology: Observational following of 54 diabetic patients with a chronic arterial ischemia, postsurgery and one year after the endovascular tibio-peroneal revascularization. Results: There was a 100% (n=54) of therapeutic success postsurgery; 3.7% required mayor amputation, with a salvatage of 96,2% (n=52). 14 of the patients died, but without association with any complication postsurgery. At one year term, 60% (n=24) were asymptomatic and 20% (n=8) reported clinical manifestations. Conclusion: The tibio-peroneal endovascular revascularization proved to be an effective treatment in diabetic patients with critical limb ischemia.

REFERENCES

1. Andersen, C; Roukis, T. The Diabetic Foot. Surg Clin N Am 2007;87:1149–1177.

2. Aronow, W. Management of Peripheral Arterial Disease Cardiology in Review 2005;13:61–68.

3. Aslam, F; Haque, A; Foody, J and Lee, V. Peripheral Arterial Disease: Current Perspectives and New Trends in Management. Southern Medical Journal 2009;102(11):1141-1149.

4. Bosiers, M; et al. Endovascular therapy as the primary approach for limb salvage in patients with critical limb ischemia: experience with 443 infrapopliteal procedures. Vascular 2006;14:63–69.

5. Brenes, G; Rosero, L. Costa Rica- Estudio de longevidad y Envejecimiento Saludable (CRELES) Diabetes Mellitus en Adultos Mayores Costarricenses. Población y Salud en Mesoamérica 2007;5(1):1-12.

6. Diabetic foot disorders: a clinical practice guideline. The journal of foot & Ankle Surgery 2006:45(5):S2-S69.

7. Dick, F; et al. Surgical or endovascular revascularization in patients with critical limb ischemia: Influence of diabetes mellitus on clinical outcome. J Vasc Surg 2007;45:751-61.

8. Farber, D; Farber, J. Office-Based Screening, Prevention, and Management of Diabetic Foot Disorders. Prim Care Clin Office Pract 2007;34: 873–885.

9. Graziani, L; et. al. Vascular Involvement in Diabetic Subjects with Ischemic Foot Ulcer: A New Morphologic Categorization of Disease Severity . Eur J Vasc Endovasc Surg 2007;33(4):453-460.

10. Liebeskind, D. Reperfusion for acute ischemic stroke: arterial revascularization and collateral therapeutics. Current Opinion in Neurology 2010;23:36–4.

11. Montero-Baker, et al. Retrograde approach for Complex Popliteal and Tibioperoneal Occlusions. J Endovasc Ther 2008;15:594–604.

12. Mukherjee, D. Peripheral and cerebrovascular atherosclerotic disease in diabetes mellitus. Best Practice & Research Clinical Endocrinology & Metabolism 2009;23:335–345.

13. Norgren, L; Hiatt, WR; Dormandy, JA; Nehler, MR; Harris, KA and Fowker, FGR. Inter- Society Consensus for the Management of Peripheral Arterial Disease (TASC II) on behalf of the TASC II Working Group. Eur J Vasc Endovasc Surg 2007;33:S1-S70.

14. Stone, K; Chiquette, E and Chilton, R. Diabetic Endovascular Disease: Role of Coronary Artery Revascularization. Am J Cardiol. 2007;99:105B–112B.

15. White, C; Gray, W. Endovascular Therapies for Peripheral Arterial Disease. Circulation 2007;116:2203-2215.