medigraphic.com

2013, Number 1

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2013; 14 (1)

Characteristics of major amputations in patients with acute thrombotic arterial ischemia of the lower limbs

Cabrera ZJL, Hernández SA, Viña CH, Hondares GMC, López DM, Licor GE, Castellanos MM

Language: Spanish
References: 16
Page:
PDF size: 97.91 Kb.


ABSTRACT

Introduction: major amputations of vascular origin accounts for 60 % of the amputations that are performed in the vascular surgery services. The high rate of atherothrombotic complications (thrombosis, gangrene and infection) occurring in diabetic and non diabetic patients as a result of these events discloses that major amputation remains part of the surgical practice of the vascular surgeons.
Objective: to describe the characteristics of major amputations of lower limbs in patients suffering acute thrombotic arterial ischemia.
Methods: retrospective, descriptive and cross-sectional study of 150 patients who had been admitted to the arteriology and diabetic angiopathy service of the National Institute of Angiology and Vascular Surgery in a 5 year-period. Seventy one of them had undergone major amputation.
Results: Males (44; 61.97 %) and patients aged over 60 years, regardless of sex, predominated. It was observed that non-diabetic patients (67. 6 %) prevailed. On analyzing the behaviour of the rate of major amputation, it was found that the highest number of suprachondylear amputationms was practiced in this group of patients (69.6 %). Just two infrachondylear amputations were performed in non-diabetic patients.
Conclusions: the number of major amputations caused by acute thrombotic arterial ischemia of lower limbs increases with the age, being predominant in non-diabetic male patients.


REFERENCES

  1. Aulivola B, Hile CN, Hamdan AD, Sheahan MG, Veraldi JR, Skillaman JJ, et al. Major lower extremity amputations outcome of a modern series. Arch Surg. 2004;139:395-9.

  2. Cruz CP, Edit JF, Capps C, Kirtley L, Yoursi MM. Major lower extremity amputations at vetererans affairs hospital. Am J Surg. 2003;186:449-54.

  3. Cabrera Zamora JL. Enfermedad femoropoplitea en pacientes con isquemia arterial aguda trombótica de miembros inferiores [tesis]. La Habana: Instituto Nacional de Angiología y Cirugía Vascular, Centro de Investigaciones y Referencia en Aterosclerosis de La Habana (CIRAH); 2005.

  4. Valentine RJ, Myers SI, Inman MH, Roberts JR, Clagett GP. Late outcome of amputees with premature atherosclerosis. Surgery. 1996;119:487-93.

  5. Kazmers A, Perkins AJ, Jacobs LA, Arbor A. Major lower extremity amputation in Veterans Affairs Medical Centers. Ann Vasc Surg. 2000;14:2122-9.

  6. Glattly HW. Aging and amputation. En: Haimovici J, editor. Principios y Técnica. Cirugía Vascular. New York: Salvat; 1986. p. 1041-73.

  7. Kay HW, Newman JD. Relative incidence of new amputations statistical comparison of 6 000 new amputations. En: Haimovici J, editor. Principios y Técnica. Cirugía Vascular. New York: Salvat; 1986. p. 1041-73.

  8. Estévez Touzard M, Zacca Peña E, MC Cook Martínez J. Tendencia de las amputaciones mayores en el Instituto Nacional de Angiología y Cirugía Vascular. Rev Cubana Hig Epidemiol. 1994;32(1-2):11-8.

  9. Bolinger A. Angiología. La Habana: Editorial Científico-Técnica; 1982.

  10. Nehler MR, Coll JR, Hiatt WR, Reggenstenier JG, Schnickel GT, Klenke WA, et al. Functional outcome in a contemporary series of major lower extremity amputations. J Vasc Surg. 2003;38:7-14.

  11. Siriwarddena GJA, Bertrand PV. Factors influencing rehabilitation of arteriosclerosis lower limb amputees. J Rehabil Res Dev. 1991;28:35-44.

  12. Martorell Losssius A. Amputaciones en un servicio de Angiología y Cirugía Vascular [carta]. Angiología. 2000;3:123-4.

  13. Salazar-Agorria A, Gómez-Vivanco R, Vega de Céniga M, Baquer-Miravete M, Estallo-Laliena L. Pronóstico funcional tras amputación mayor por causa isquémica en pacientes con deambulación previa. Angiología. 2007;59(2):139-45.

  14. Kent R. Effectiveness of rehabilitation following amputation. Clin Rehabil. 1999;13:43-50.

  15. Jaar BG, Astor BC, Berns JS, Powe NR. Predictors of amputation and survival following lower extremity revascularization in hemodialysis patients. Kidney Intern. 2004;(65):613-20.

  16. Seuc Jo AH, Hernández Seara A, López M, Rodríguez Villalonga L, Fernández Montequín JI. Cuantificación de la severidad de los pacientes que ingresan al Instituto de Angiología y Cirugía Vascular a partir de su riesgo de amputación mayor. Rev Cubana Angiol Cir Vasc. 2008 [citado 23 Ago 2012);9(1). Disponible en: http://bvs.sld.cu/revistas/ang/vol9_1_08/ang0708.htm




2020     |     www.medigraphic.com