RT info:eu-repo/semantics/article
T1 Clinical and haemodynamic evolution of lesions treated by means of a therectomy with Silver Hawk in the femoropopliteal sector
A1 Ibáñez Maraña, María Antonia
A1 Cenizo Revuelta, Noelia María
A1 Río Sola, María Lourdes del
A1 Sánchez García, Ana María de los Ángeles
A1 San Norberto García, Enrique María
A1 Brizuela Sanz, José Antonio
A1 Gutíerrez Alonso, Vicente
A1 Vaquero Puerta, Carlos
K1 Extremidades
K1 Cirugía
AB The objective of the work is to study the clinical and haemodynamic evolution, over 1 year, in patientswith 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 monthsof clinical symptoms, physical examination and ecodoppler, obtaining results on diameter and peaksystolic 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 withadvanced distal trophic lesions in 5. A good arteriographic result was obtained in 12 cases, a stent wasplaced on the superficial femoral artery in 5 due to suboptimal outcome. Contrast extravasation wasobserved 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 peakintraarterial systolic velocity was observed, particularly on the distal superficial femoral artery. Afterone year, 7 patients (36.8%) were symptom-free, 5 (26.3%) presented mild or moderate intermittentclaudication and 1 patient (5.3%) presented localised distal trophic lesion. Four (4) major amputationswere performed, in 2 the knee was preserved, there were 3 thromboses due to the procedure, a secondaryendovascular procedure was performed in one case and a femoropopliteal bypass in another, and therewere 2 non procedure-related deaths.Discussion: atherectomy with SilverHawk achieves an improvement in clinical degree, with a good rateof extremity salvage in patients with critical ischemia. In the first year, the ecodoppler shows evolutionof the arteriopathy, without this necessarily meaning a clinical worsening.
PB Universidad de Valladolid. Facultad de Medicina
SN 0720-048X
YR 2011
FD 2011
LK http://uvadoc.uva.es/handle/10324/2832
UL http://uvadoc.uva.es/handle/10324/2832
LA eng
NO European Journal of Radiology, 80 (2011) p. 543-547
NO Producción Científica
DS UVaDOC
RD 22-dic-2024