2024-03-28T08:24:31Zhttps://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/28322021-06-23T09:54:42Zcom_10324_1138com_10324_931com_10324_894col_10324_1226
Clinical and haemodynamic evolution of lesions treated by means of a therectomy with Silver Hawk in the femoropopliteal sector
Ibáñez Maraña, María Antonia
Cenizo Revuelta, Noelia María
Río Sola, María Lourdes del
Sánchez García, Ana María de los Ángeles
San Norberto García, Enrique María
Brizuela Sanz, José Antonio
Gutíerrez Alonso, Vicente
Vaquero Puerta, Carlos
Extremidades
Cirugía
Producción Científica
The objective of the work is to study the clinical and haemodynamic evolution, over 1 year, in patients
with femoropopliteal arterial pathology treated by means of atherectomy with the SilverHawk device.
Materials and methods: Nineteen (19) patients were treated between December 2008 and May 2009,
collecting data on sex, age, comorbidity and clinical degree, with prospective monitoring over 12 months
of clinical symptoms, physical examination and ecodoppler, obtaining results on diameter and peak
systolic velocity at different arterial levels.
Results: Of the 19 patients, 14 were men and 5 women, with a mean age of 70 years, hypertensive (73%),
diabetic (63%) and smokers (63%). Six (6) presented disabling claudication and 13 critical ischemia with
advanced distal trophic lesions in 5. A good arteriographic result was obtained in 12 cases, a stent was
placed on the superficial femoral artery in 5 due to suboptimal outcome. Contrast extravasation was
observed in 2, with femoropopliteal bypass performed and one exclusion with endoprosthesis for repair.
In the ecodoppler after 1, 3, 6 and 12 months, a progressive reduction in lumen diameter and peak
intraarterial systolic velocity was observed, particularly on the distal superficial femoral artery. After
one year, 7 patients (36.8%) were symptom-free, 5 (26.3%) presented mild or moderate intermittent
claudication and 1 patient (5.3%) presented localised distal trophic lesion. Four (4) major amputations
were performed, in 2 the knee was preserved, there were 3 thromboses due to the procedure, a secondary
endovascular procedure was performed in one case and a femoropopliteal bypass in another, and there
were 2 non procedure-related deaths.
Discussion: atherectomy with SilverHawk achieves an improvement in clinical degree, with a good rate
of extremity salvage in patients with critical ischemia. In the first year, the ecodoppler shows evolution
of the arteriopathy, without this necessarily meaning a clinical worsening.
2013-05-23T14:23:34Z
2013-05-23T14:23:34Z
2011
info:eu-repo/semantics/article
European Journal of Radiology, 80 (2011) p. 543-547
0720-048X
http://uvadoc.uva.es/handle/10324/2832
543
80
547
European Journal of Radiology
eng
Attribution-NonCommercial-NoDerivs 3.0 Unported
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
application/pdf
Universidad de Valladolid. Facultad de Medicina
https://uvadoc.uva.es/bitstream/10324/2832/6/vaquero4.pdf.jpg
Hispana
TEXT
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
UVaDOC. Repositorio Documental de la Universidad de Valladolid
http://uvadoc.uva.es/handle/10324/2832