Revista chilena de cirugía
versión On-line ISSN 0718-4026
HASBUN A, SANDRA; TAPIA R, ROBERTO; TEPPER L, PATRICIO y CELEDON L, RAMÓN. Femoropopliteal angioplasty for the treatment of critical limb ischemia. Rev Chil Cir [online]. 2008, vol.60, n.2, pp. 145-149. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262008000200011.
Introduction: The critical ischemia of the lower extremities is a condition that affects patients who present serious atheromatous pathology in multiple territories and, consequently, have bad live prognosis. Endovascular therapy, valid in some sectors, has not been able to find a position in this one yet. Objectives: to evaluate the gradual development of patients who were subjected to angioplasty of the femoropopliteal territory because of critical ischemia. Material and method: retrospective study, which includes 58 extremities in 54 patients with critical ischemia of the interior extremities due to femoropopliteal pathology who were subjected to angioplasty between July 2001 and December 2004, and whose development was studied until April 2006. Results: 58 AGP were performed in 54 patients: 54% male, 46% female, and 74% diabetics. The average age was 70.6 years old. The group includes TASC A, B, C, and D lesions. 24% of the extremities did not have run off. The initial technical success was obtained in 84% of the cases. The primary permeability 43,3% after a year (ES 6,52), 32,7% after 2 years (ES 7,44) and 16,9% after 3 years (ES 6,31). 4 patients were subjected to further angioplasty of the same territory and 7 patients were subjected to bypass during this period. The 30-day mortality was 1,7%. There were 4 major complications (8%). By the end of the monitoring, there are 20 major amputations (34%), 4 of these due to local compromise, and the rest of them due to irreversible ischemia. The mortality at the end of the monitoring was 29,6%. Conclusion: infrainguinal angioplasty on critical ischemia is possible, safe and presents a low morbimortality, not excluding revascu-larization through bypass in case of failure
Palabras llave : Critical ischemia; femoropopliteal; angioplasty.