Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1677-5449.200031 http://hdl.handle.net/11449/207009 |
Resumo: | Background: Acute arterial occlusions (AAO) in limbs have been increasing in parallel with population longevity. Objective: To assess risk factors, limb salvage rates, and survival of patients with AAO treated at a University Hospital. Methods: Retrospective cohort study of consecutive patients. Outcomes included: patency, symptoms, comorbidities, Rutherford category, arteries occluded, postoperative complications, and 30-day limb salvage and mortality rates. Results: Medical records were evaluated from 105 patients, predominantly males (65.7%), with ages ranging from 46 to 91 years. Etiology: thrombotic (54.3%), embolic (35.2%), and undefined (10.5%). About 2/3 of the patients were assessed as Rutherford category II or III. Associated symptoms: pain (97.1%), coldness (89.5%), pallor (64.7%), sensory loss (44.7%), paralysis (30.5%), anesthesia (21.9%), edema (21.9%), and cyanosis (15.2%). Associated comorbidities: hypertension (65.0%), smoking (59.0%), arrhythmias (26.6%), dyslipidemia (24.0%), and diabetes (23.8%). The distal superficial femoral-popliteal segment was the most affected (80%). Thromboembolectomy with a Fogarty catheter was performed in 73.3% of cases (81.0% of embolic cases, 71.9% of thrombotic cases, and 54.5% of cases with undefined etiology) and was the only treatment used in 41 cases (39.05%), among which there were 11 reocclusion, 20 amputations, and 14 deaths. Arterial reocclusion was more frequent in thrombosis cases (12.9%, p = 0.054). Within 30 days of treatment, total mortality was 14.6%, and 19.8% of cases underwent major amputation, which was less frequent among Rutherford Class I patients (p = 0.0179). Conclusion: Treatment of AAO was primarily performed by thromboembolectomy with a Fogarty catheter, either alone or in combination with other treatments, achieving amputation and complication rates compatible with the best results in the literature and were progressively lower in less advanced Rutherford categories. |
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Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective studyResultados do tratamento das oclusões arteriais agudas de membros em hospital universitário – estudo retrospectivoBalloon EmbolectomyIschemiaLower ExtremityUpper ExtremityBackground: Acute arterial occlusions (AAO) in limbs have been increasing in parallel with population longevity. Objective: To assess risk factors, limb salvage rates, and survival of patients with AAO treated at a University Hospital. Methods: Retrospective cohort study of consecutive patients. Outcomes included: patency, symptoms, comorbidities, Rutherford category, arteries occluded, postoperative complications, and 30-day limb salvage and mortality rates. Results: Medical records were evaluated from 105 patients, predominantly males (65.7%), with ages ranging from 46 to 91 years. Etiology: thrombotic (54.3%), embolic (35.2%), and undefined (10.5%). About 2/3 of the patients were assessed as Rutherford category II or III. Associated symptoms: pain (97.1%), coldness (89.5%), pallor (64.7%), sensory loss (44.7%), paralysis (30.5%), anesthesia (21.9%), edema (21.9%), and cyanosis (15.2%). Associated comorbidities: hypertension (65.0%), smoking (59.0%), arrhythmias (26.6%), dyslipidemia (24.0%), and diabetes (23.8%). The distal superficial femoral-popliteal segment was the most affected (80%). Thromboembolectomy with a Fogarty catheter was performed in 73.3% of cases (81.0% of embolic cases, 71.9% of thrombotic cases, and 54.5% of cases with undefined etiology) and was the only treatment used in 41 cases (39.05%), among which there were 11 reocclusion, 20 amputations, and 14 deaths. Arterial reocclusion was more frequent in thrombosis cases (12.9%, p = 0.054). Within 30 days of treatment, total mortality was 14.6%, and 19.8% of cases underwent major amputation, which was less frequent among Rutherford Class I patients (p = 0.0179). Conclusion: Treatment of AAO was primarily performed by thromboembolectomy with a Fogarty catheter, either alone or in combination with other treatments, achieving amputation and complication rates compatible with the best results in the literature and were progressively lower in less advanced Rutherford categories.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Universidade Estadual PaulistaCirurgia e Ortopedia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP)Cirurgia e Ortopedia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP)Universidade Estadual Paulista: 38.591Universidade Estadual Paulista (Unesp)Teodoro, Caroline [UNESP]Bertanha, Matheus [UNESP]Girard, Flavia Potsch Camara Mattos [UNESP]Sobreira, Marcone Lima [UNESP]Yoshida, Ricardo de Alvarenga [UNESP]Moura, Regina [UNESP]Jaldin, Rodrigo Gibin [UNESP]Yoshida, Winston Bonetti [UNESP]2021-06-25T10:47:33Z2021-06-25T10:47:33Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-10application/pdfhttp://dx.doi.org/10.1590/1677-5449.200031Jornal Vascular Brasileiro, v. 19, p. 1-10.1677-73011677-5449http://hdl.handle.net/11449/20700910.1590/1677-5449.200031S1677-544920200001003232-s2.0-85097991246S1677-54492020000100323.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Vascular Brasileiroinfo:eu-repo/semantics/openAccess2023-11-25T06:17:06Zoai:repositorio.unesp.br:11449/207009Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-25T06:17:06Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study Resultados do tratamento das oclusões arteriais agudas de membros em hospital universitário – estudo retrospectivo |
title |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
spellingShingle |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study Teodoro, Caroline [UNESP] Balloon Embolectomy Ischemia Lower Extremity Upper Extremity |
title_short |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
title_full |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
title_fullStr |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
title_full_unstemmed |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
title_sort |
Results of treatment of acute occlusions of limb arteries at a university hospital-retrospective study |
author |
Teodoro, Caroline [UNESP] |
author_facet |
Teodoro, Caroline [UNESP] Bertanha, Matheus [UNESP] Girard, Flavia Potsch Camara Mattos [UNESP] Sobreira, Marcone Lima [UNESP] Yoshida, Ricardo de Alvarenga [UNESP] Moura, Regina [UNESP] Jaldin, Rodrigo Gibin [UNESP] Yoshida, Winston Bonetti [UNESP] |
author_role |
author |
author2 |
Bertanha, Matheus [UNESP] Girard, Flavia Potsch Camara Mattos [UNESP] Sobreira, Marcone Lima [UNESP] Yoshida, Ricardo de Alvarenga [UNESP] Moura, Regina [UNESP] Jaldin, Rodrigo Gibin [UNESP] Yoshida, Winston Bonetti [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Teodoro, Caroline [UNESP] Bertanha, Matheus [UNESP] Girard, Flavia Potsch Camara Mattos [UNESP] Sobreira, Marcone Lima [UNESP] Yoshida, Ricardo de Alvarenga [UNESP] Moura, Regina [UNESP] Jaldin, Rodrigo Gibin [UNESP] Yoshida, Winston Bonetti [UNESP] |
dc.subject.por.fl_str_mv |
Balloon Embolectomy Ischemia Lower Extremity Upper Extremity |
topic |
Balloon Embolectomy Ischemia Lower Extremity Upper Extremity |
description |
Background: Acute arterial occlusions (AAO) in limbs have been increasing in parallel with population longevity. Objective: To assess risk factors, limb salvage rates, and survival of patients with AAO treated at a University Hospital. Methods: Retrospective cohort study of consecutive patients. Outcomes included: patency, symptoms, comorbidities, Rutherford category, arteries occluded, postoperative complications, and 30-day limb salvage and mortality rates. Results: Medical records were evaluated from 105 patients, predominantly males (65.7%), with ages ranging from 46 to 91 years. Etiology: thrombotic (54.3%), embolic (35.2%), and undefined (10.5%). About 2/3 of the patients were assessed as Rutherford category II or III. Associated symptoms: pain (97.1%), coldness (89.5%), pallor (64.7%), sensory loss (44.7%), paralysis (30.5%), anesthesia (21.9%), edema (21.9%), and cyanosis (15.2%). Associated comorbidities: hypertension (65.0%), smoking (59.0%), arrhythmias (26.6%), dyslipidemia (24.0%), and diabetes (23.8%). The distal superficial femoral-popliteal segment was the most affected (80%). Thromboembolectomy with a Fogarty catheter was performed in 73.3% of cases (81.0% of embolic cases, 71.9% of thrombotic cases, and 54.5% of cases with undefined etiology) and was the only treatment used in 41 cases (39.05%), among which there were 11 reocclusion, 20 amputations, and 14 deaths. Arterial reocclusion was more frequent in thrombosis cases (12.9%, p = 0.054). Within 30 days of treatment, total mortality was 14.6%, and 19.8% of cases underwent major amputation, which was less frequent among Rutherford Class I patients (p = 0.0179). Conclusion: Treatment of AAO was primarily performed by thromboembolectomy with a Fogarty catheter, either alone or in combination with other treatments, achieving amputation and complication rates compatible with the best results in the literature and were progressively lower in less advanced Rutherford categories. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 2021-06-25T10:47:33Z 2021-06-25T10:47:33Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1677-5449.200031 Jornal Vascular Brasileiro, v. 19, p. 1-10. 1677-7301 1677-5449 http://hdl.handle.net/11449/207009 10.1590/1677-5449.200031 S1677-54492020000100323 2-s2.0-85097991246 S1677-54492020000100323.pdf |
url |
http://dx.doi.org/10.1590/1677-5449.200031 http://hdl.handle.net/11449/207009 |
identifier_str_mv |
Jornal Vascular Brasileiro, v. 19, p. 1-10. 1677-7301 1677-5449 10.1590/1677-5449.200031 S1677-54492020000100323 2-s2.0-85097991246 S1677-54492020000100323.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Jornal Vascular Brasileiro |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1-10 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965067719999488 |