Objectives Evaluation of early and medium-term results of percutaneous interventional procedure to treat CTO femoral artery occlusion at Cardiovascular Center of Hospital E and some factors affecting the intervention results of this procedure Methods Descriptive, prospective, non-control study, from July 2021 to July 2022, had 38 patients diagnosed with CTO femoral artery POBA and/or stenting Result The success rate of interventional technique for CTO of the superficial femoral artery is 94.7%. The rate of complications is 5.3%, 2 cases bleeding at the puncture site. 1. The rate of limb preservation or only minimal amputation was 97.4%. After 6 months, there were 10 cases (27.8%) of stent re-occlusion and had to be hospitalized for stent re- intervention. 2. Smoking has the highest rate in the study group, over 2/3 of the total number of patients, followed by hypertension and diabetes. Patients with stents length > 16cm had an increased risk of restenosis compared with stent length <16cm, (p=0.016). Retrograde intervention had a higher risk of stent occlusion at 6 months compared with antergrade intervention (p=0.012). Conclusion Intervention CTO femoral artery by percutaneous intervention has a high success rate, improving limb function and increasing quality of life, it is necessary to advise patients to give up smoking, take medication after the intervention. Consider placing multiple stents and too long stent. It is necessary to use Rotablator or IVUS limb vessels to optimize the outcome.
Objective: Anteriovenous fistula is a high-flow vascular malformation. Anteriovenous fistula is characterized by a direct connection between an artery and a vein without the presence of a nidus (network of arterial and venous channels). Renal artery aneurysm concomitant with a renal arteriovenous fistula is extremely rare. Case report: We reported the case of a 45-year-old female who has giant renal artery aneurysm combined with high-flow RAVF who presented with gross hematuria. The patient’s embolization of a giant extrarenal aneurism arteriovenous fistula was successfully treated using specialized coils and plug device. Conclusions: Renal arteriovenous fistula is a disease that can lead to serious complications. Treatment of this condition should be initiated promptly after diagnosis. Embolization endovascular is a feasible, efficient and safe method which can maximally retain normal renal function.
Introduction: Surgical operative risk of valvular replacement has been widely studied and it has been shown that postoperative complications incidence and mortality increase with patients’ age. The aim of this study was to assess among elderly patients whom underwent surgical aortic valve replacement using various scoring system and Geriatric Assessment Indexes to predict post-operative risk and long-term outcome. Methods and Results: We prospectively evaluated the incidence, over early and late results, of surgical scores and geriatric profile amid 122 intermediate-risk patients, aged 75 years or more who underwent surgical aortic valve replacement. In a univariate analysis, the EuroScore II (OR 1.73, 95% CI: 1.21-2.48, P =0.002), STS score (OR 1.39, 95% CI: 1.03-1.88, P = 0.03) and a Katz index ≤ 5 (limitation of at least one daily living activity) (OR 3.35, 95% CI: 1.08-10.35, P=0.03) were predictors of a 30-day unfavorable evolution. In a multivariate analysis, only surgical scores were predictive factors. At 6 months, 20 patients had deceased or had to be readmitted to hospital. At 10 years, survival was 48 % [IQR 39-57]. The Katz index ≤ 5 was the only geriatric test independent of an unfavorable outcome at 6 months (OR 4.51, 95% CI: 1.25-16.29, P = 0.02) and of a deleterious effect over long-term survival (OR 3.00, 95% CI: 1.58-5.69, P=0.001). Conclusion: In elderly patients, autonomy assessment with the Katz index allows to distinguish a vulnerable population with less beneficial outcomes after aortic valve replacement.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.