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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/19082
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dc.contributor.authorPredenciuc, Alexandru-
dc.contributor.authorCasian, Dumitru-
dc.contributor.authorCuliuc, Vasile-
dc.contributor.authorSmolnițchi, Roman-
dc.date.accessioned2021-12-03T10:48:45Z-
dc.date.available2021-12-03T10:48:45Z-
dc.date.issued2021-
dc.identifier.citationPREDENCIUC, Alexandru, CASIAN, Dumitru, CULIUC, Vasile, SMOLNIȚCHI, Roman. Initial experience of hybrid procedures performed for acute limb ischemia = Experiența inițială a intervențiilor hibride efectuate pentru ischemia acută a extremităților. In: Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: abstract book. Chișinău: [s. n.], 2021, p. 251. ISBN 978-9975-82-223-7.en_US
dc.identifier.isbn978-9975-82-223-7-
dc.identifier.urihttps://conferinta.usmf.md/wp-content/uploads/ABSTRACT-BOOK-Culegere-de-rezumate_21_10.pdf-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/19082-
dc.descriptionDepartment of General Surgery-Semiology no. 3, Nicolae Testemitanu SUMPh, Institute of Emergency Medicineen_US
dc.description.abstractBackground. Thrombectomy (TE) is an effective treatment for acute limb ischemia (ALI). However,residual thrombus and chronic occlusive-stenotic lesions may limit clinical success rate.The “hybrid procedures” allow identification of underlying lesions and its simultaneous endovascular correction Objective of the study. The aim of study was evaluation of first experience and early results of HP performed on emergency basis in patients with ALI Material and Methods. Our initial experience includes 3 patients with ALI grade IIB of lower limbs who underwent urgent staged HP. The indications for HP was suboptimal result of TE. The immediate technical success was defined as patent artery with <30% residual stenosis. Primary patency, limb salvage rate and value of ankle brachial pressure index (ABPI) were defined as clinical outcomes Results. Open surgery consisted of TE from iliac artery in 1 case and from femoral-popliteal segment in 2 cases. In first case angiography revealed the severe stenosis of common iliac artery and in other two cases - chronic occlusions of tibial arteries. Endovascular stage of HP included: transluminal angioplasty and stenting of common iliac artery in one case and angioplasty of tibial arteries in two. Technical success was achieved in all cases. In the postoperative period the median value of ABPI increased with 0,64. At six-months follow-up the primary patency and limb salvage rates were 100%, and survival rate was 66% Conclusion. Initial experience of HP in patients with ALI offered promising results, demonstrating its feasibility, sufficient efficacy and safety, especially in cohort of high-risk patients. HP for ALI should be implemented in routine practice and evaluated in larger clinical studies.en_US
dc.description.abstractBackground. Thrombectomy (TE) is an effective treatment for acute limb ischemia (ALI). However,residual thrombus and chronic occlusive-stenotic lesions may limit clinical success rate.The “hybrid procedures” allow identification of underlying lesions and its simultaneous endovascular correction Objective of the study. The aim of study was evaluation of first experience and early results of HP performed on emergency basis in patients with ALI Material and Methods. Our initial experience includes 3 patients with ALI grade IIB of lower limbs who underwent urgent staged HP. The indications for HP was suboptimal result of TE. The immediate technical success was defined as patent artery with <30% residual stenosis. Primary patency, limb salvage rate and value of ankle brachial pressure index (ABPI) were defined as clinical outcomes Results. Open surgery consisted of TE from iliac artery in 1 case and from femoral-popliteal segment in 2 cases. In first case angiography revealed the severe stenosis of common iliac artery and in other two cases - chronic occlusions of tibial arteries. Endovascular stage of HP included: transluminal angioplasty and stenting of common iliac artery in one case and angioplasty of tibial arteries in two. Technical success was achieved in all cases. In the postoperative period the median value of ABPI increased with 0,64. At six-months follow-up the primary patency and limb salvage rates were 100%, and survival rate was 66% Conclusion. Initial experience of HP in patients with ALI offered promising results, demonstrating its feasibility, sufficient efficacy and safety, especially in cohort of high-risk patients. HP for ALI should be implemented in routine practice and evaluated in larger clinical studies.en_US
dc.publisherUniversitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu" din Republica Moldovaen_US
dc.relation.ispartofConferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021en_US
dc.subjectacute ischemiaen_US
dc.subjecthybrid proceduresen_US
dc.subjectlimb salvageen_US
dc.subjectthrombectomyen_US
dc.titleInitial experience of hybrid procedures performed for acute limb ischemiaen_US
dc.title.alternativeExperiența inițială a intervențiilor hibride efectuate pentru ischemia acută a extremitățiloren_US
dc.typeOtheren_US
Appears in Collections:Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: Abstract book

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