Manejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea

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dc.catalogadordfo
dc.contributor.authorIgnacio Torrealba, J.
dc.contributor.authorFrancisco Vargas, J.
dc.contributor.authorMarine Massa, Leopoldo Ario Fernando
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorMertens Martín, Renato Alfonso
dc.contributor.authorValdés, Francisco J.
dc.date.accessioned2025-03-13T19:00:05Z
dc.date.available2025-03-13T19:00:05Z
dc.date.issued2020
dc.description.abstractBackground: Chronic limb ischemia can lead to high rates of limb loss and mortality. Open surgery is the gold standard for treatment of distal disease. Endovascular surgery should have less complications with similar outcomes. Aim: To report a cohort of patients with distal arterial disease treated with endovascular surgery at our institution. Material and Methods: Review of angioplasty records of patients undergoing distal lower extremity endovascular procedures between 2016 and 2019. Demographics, comorbidities, form of presentation, type of intervention, perioperative complications, and length of stay were analyzed. The primary outcomes were wound healing, reinterventions and freedom from major amputation. Secondary outcomes were overall survival and amputation-free survival. Results: Forty-eight limbs of 41 patients with a mean age 75 years (78% males) were treated. Ninety-three percent had hypertension, 88% diabetes, 30% chronic kidney disease. 73% presented with major wounds. Plain balloon and drug coated balloon angioplasties were carried out in 65 and 31% of procedures respectively, with no difference in results. In 46% of the cases, only chronic total occlusions were treated. Wound healing was achieved in 85% of procedures and 90% of patients were free from amputation at one year of follow up. Complications were observed in 18% of procedures, perioperative mortality was 2% and one-year survival was 76%. Conclusions: Endovascular therapy achieves high rates of wound healing and freedom from amputation with low perioperative mortality and moderate complication rates.
dc.fechaingreso.objetodigital2025-03-13
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:33844738
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872020001201734
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102579
dc.identifier.wosidWOS:000637318400004
dc.information.autorucEscuela de Medicina; Marine Massa Leopoldo Ario Fernando; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Bergoeing Reid Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Mertens Martin Renato Alfonso; 0000-0001-6929-4850; 75745
dc.issue.numero12
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1741
dc.pagina.inicio1734
dc.revistaRevista médica de Chile
dc.rightsacceso abierto
dc.subjectAngioplasty
dc.subjectEndovascular Procedures
dc.subjectLimb Salvage
dc.subjectLower Extremity
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleManejo endovascular de la isquemia crítica distal: análisis de una serie contemporánea
dc.typeartículo
dc.volumen148
sipa.codpersvinculados4085
sipa.codpersvinculados92603
sipa.codpersvinculados75745
sipa.trazabilidadWOS;05-06-2021
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