Diagnostyka inwazyjna tętnic wieńcowych a leczenie zachowawcze u pacjentów z krytycznym niedokrwieniem kończyn dolnych: seria przypadków
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.
Słowa kluczowe: krytyczne niedokrwienie kończyny dolnejdiagnostyka inwazyjna tętnic wieńcowychrewaskularyzacja
Referencje
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