Percutaneous transluminal angioplasty/stent treatment of totally occlusive iliofemoral artery with limb ischemia: Experience of surgical team

Ata, Emin Can; Şenel, Muharrem

doi:10.5606/tgkdc.dergisi.2018.15503

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…PAD treatment includes Mediterranean type nutrition, lifestyle changes, and medical treatments as well as interventional and surgical treatments 6,7 . With the recent advances in technology, endovascular treatment options are frequently preferred instead of surgical treatment, especially in high-risk patients they have other comorbidity factors with PAD 8,9 . Although surgical revascularization is accepted as the gold standard treatment in distal PADs, endovascular treatment options are also very important in distal PADs due to morbid and mortal complication risks such as graft thrombosis, graft infections in long-term follow-ups 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of atherectomy, drug-eluting balloon, and combined treatment efficiency by near infrared spectroscopy

Onur-Beyaz¹,

Demir²,

Ozer-Ulukan³

2023

CIRUE

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Atherosclerosis is a systemic pathology involving the entire vascular system. Smoking, hyperlipidemia, diabetes mellitus, advanced age, and hypertension are known risk factors for the development of atherosclerosis. Surgical treatment in peripheral arterial disease (PAD) has been replaced by endovascular treatment options in recent years due to mortality and morbidity. In our study, we aimed to present the effectiveness of atherectomy, drug-eluting balloon, and combined therapy with values determined by near-infrared spectroscopy (NIRS) in patients they have atherosclerotic PAD. Materials and methods: Patients with intermittent claudication or critical leg ischemia (Rutherford class 3 or more) have been viewed in the study. There were 30 male and 9 female patients. Patients were followed up before, at the 1 st h after and at the 3 rd month after the procedure, with simultaneous anklebrachial pressure index (ABPI), walking distance measurements, and measurement of tissue oxygenation by NIRS method. Results: When patients with similar post-operative ABPI measurements were evaluated with NIRS, venous oxygenation was observed higher in patients used treatment methods combined with atherectomy. According to these results, we thought that treatment methods combined with atherectomy have increased microcirculation and collateral circulation more than other methods.

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