Tom 17, Nr 3 (2022)
Praca badawcza (oryginalna)
Opublikowany online: 2022-12-02
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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Diagnostyka inwazyjna tętnic wieńcowych a leczenie zachowawcze u pacjentów z krytycznym niedokrwieniem kończyn dolnych: seria przypadków

Michał Susuł1, Anna Kańtoch1, Joanna Wojtasik-Bakalarz1, Zoltan Ruzsa2, Gabor G. Toth3, Stanisław Bartuś1
Kardiol Inwazyjna 2022;17(3):107-110.

Streszczenie

Patients with lower limb ischaemia are at increased risk of coronary artery disease, heart attack and even death. The purpose of the study was to compare the strategy of invasive treatment of coronary artery disease and total coronary revascularization with traditional conservative treatment in patients with critical lower limb ischaemia. Fourteen patients were enrolled in the study. Patients were divided into two groups. Seven patients were assigned to the conservative group, the remaining seven to the invasive group. One death was recorded in a patient with multiple morbidities from the invasive group, and in this group one patient had a foot amputation. The patient population was not very large, which limits the drawing of conclusions. The study suggests the superiority of invasive diagnostics over conservative treatment. Patients assessed at follow-up visits and via phone in the conservative group reported worse well-being and more severe symptoms.

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Referencje

  1. Adam DJ, Beard JD, Cleveland T, et al. BASIL trial participants. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial. Lancet. 2005; 366(9501): 1925–1934.
  2. Bech GJ, De Bruyne B, Pijls NH, et al. Fractional flow reserve to determine the appropriateness of angioplasty in moderate coronary stenosis: a randomized trial. Circulation. 2001; 103(24): 2928–2934.
  3. Toth GG, Johnson NP, Jeremias A, et al. Standardization of fractional flow reserve measurements. J Am Coll Cardiol. 2016; 68(7): 742–753.
  4. Toth G, Hamilos M, Pyxaras S, et al. Evolving concepts of angiogram: fractional flow reserve discordances in 4000 coronary stenoses. Eur Heart J. 2014; 35(40): 2831–2838.