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[Our views and experience with 80 thromboendarterectomies]
Insights
This study reviewed 80 iliac and femoral endarterectomies, finding a 60% success rate for treating severe limb ischemia. Endarterectomy offers encouraging results for vascular surgery patients with gangrene and rest pain.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
Context:
- Peripheral artery disease significantly impacts patient quality of life.
- Iliac and femoral artery occlusive disease often necessitates surgical intervention.
- Endarterectomy is a key surgical technique for revascularization.
Purpose:
- To evaluate the efficacy of endarterectomy for iliac and femoral artery occlusive disease.
- To analyze surgical outcomes based on clinical presentation and imaging.
- To report on the experience and results of endarterectomy procedures.
Summary:
- Eighty endarterectomies of the iliac and femoral arteries were performed over three years.
- Surgical decisions were guided by clinical status and aortography findings.
- The primary indications were initial gangrene and severe rest pain.
- A 60% success rate was observed, with 6% of cases not meeting expectations.
Impact:
- Demonstrates the effectiveness of endarterectomy in managing severe limb ischemia.
- Highlights the importance of clinical assessment and aortography in surgical planning.
- Encourages further research and application of endarterectomy in vascular surgery.
Abstract:
In three years' period 80 trombendarteriotomies on iliacae and femoralis arteris were made in our department. The decision for surgical measures was made on the basis of clinical state as well as aorto--graphies. With us, the basic principal of obliteration removing, was the initial gangren extremities and stronger rest pains. Analyzing our results we found out that 60 per cent of patients were good and in the 6 per cent cases the surgical measures didn't give the expected result. The aim of this exposition is to represent the way of our work, experience and encouraging results trombendarteriotomy which propose further efforts in the field of vascular surgery.