TO STUDY THE OUTCOME OF TREATMENT IN INFRARENAL MULTILEVEL OCCLUSIVE DISEASE.
- Department of Vascular Surgery, Stanley Medical College, Chennai.
- Department of Vascular Surgery, Saveetha Medical College, Chennai.
- Institute of Vascular Surgery, Madras Medical College, Chennai.
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Abstract
Objective: The purpose of this study was to compare between the proximal and total revascularization in patients with infrarenal multilevel occlusive disease.
Materials and Methods: This is a study Prospective and comparative study analysis of proximal and total revascularization in infrarenal multilevel occlusive disease done in patients with critical limb ischemia attending vascular surgery department of Govt. Stanley Medical College and Hospital, Chennai during study period between October 2012 to December 2014.
Results: Totally 25 patients were enrolled in the study with patients having good profunda patency subjected to proximal bypass, those with poor profunda patency and two patients with forefoot gangrene undergone sequential bypass. Thus by above criteria ten underwent proximal bypass and 15 had sequential bypass. There was significant improvement in ulcer healing, pain reduction and ABI improvement in sequential bypass group than that of proximal bypass.
Conclusion: This study strongly reveals that single-stage multisegment reconstruction for multilevel arterial occlusive disease is a safe and effective method of treating critical limb ischemia.
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References
- Evaluation of claudication. Vascular Diagnosis, Philadelphia: Elsevier, Inc.; 2004.
- Gahtan V: The noninvasive laboratory. SurgClin North Am 1998; 78:507-518.
- Heijenbrok-Kal MH, Kock MC, Hunink MG: Lower extremity arterial disease: multidetector CT angiography?meta-analysis. Radiology 2007; 245:433-439.
- Kreitner KF, Kalden P, Neufang A, et al: Diabetes and peripheral arterial occlusive disease: prospective comparison of contrast-enhanced three-dimensional MR angiography with conventional digital subtraction angiography. Am J Radiol2000;174:171-179.
- Norgren L. Hiatt WR, Dormandy JA. El at. Inter-Society Consensus for the Management of the Peripheral Arterial Disease (TASC II). J VascSurg 2007, 45(SupplS) S5-S67.
- Ota H, Takase K, Igarashi K, et al: MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Am J Roentgenol2004; 182:201- 209.
- Ouwendijk R, Kock MC, van Dijk LC, et al: Vessel wall calcifications at multi-dectector row CT angiography in patients with peripheral arterial disease: effect on clinical utility and clinical predictors. Radiology 2006; 241:603-608.
- Platt JF: Doppler ultrasound of the kidney. Semin Ultrasound CT MR 1997; 18:22.
- Rutherford?s Vascular Surgery, Jack L. Cronenwett, K. Wayne Johnston, Eighth Edition, Volume 2, section 18 :pg.1660-1800.
- Soares GM, Murphy TP, Singha MS, et al: Renal artery duplex ultrasonography as a screening and surveillance tool to detect renal artery stenosis: a comparison with current reference standard imaging. J Ultrasound Med 2006; 25:293.
How to Cite This Article
Lakshmidharan. M, S. R. Subrammaniyan, Thulasi kumar.G, Sritharan.N and K. Jeyachander. (2017); TO STUDY THE OUTCOME OF TREATMENT IN INFRARENAL MULTILEVEL OCCLUSIVE DISEASE., Int. J. of Adv. Res., 5 (05), 213-217, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/4099
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