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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/29534
Title: PRIMARY SURGICAL PROCEDURES TO ENHANCE BLOOD FLOW AND PREVENT AMPUTATION IN CASES OF CHRONIC LIMB-THREATENING ISCHEMIA IN CONTRAST TO ENDOVASCULAR TECHNIQUES AND BYPASS GRAFTING
Authors: James Godfree
Keywords: Endovascular techniques;bypass grafting;allograft bypass
Issue Date: 2024
Publisher: Instituţia Publică Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” din Republica Moldova
Citation: James Godfree. PRIMARY SURGICAL PROCEDURES TO ENHANCE BLOOD FLOW AND PREVENT AMPUTATION IN CASES OF CHRONIC LIMB-THREATENING ISCHEMIA IN CONTRAST TO ENDOVASCULAR TECHNIQUES AND BYPASS GRAFTING. In: Revista de Ştiinţe ale Sănătăţii din Moldova = Moldovan Journal of Health Sciences. 2024, vol. 11, Nr. 3, anexa 2, p. 523. ISSN 2345-1467.
Abstract: Background. Chronic limb-threatening ischemia (CLTI) treatment options, particularly endovascular and bypass grafting methods, have been widely debated, with a focus on successful outcomes and fewer complications. Objective of the study. To compare the effectiveness of two surgical options for treating CLTI concerning follow-up, quality of life (QoL), hospital stay duration, and patient outcomes. Material and methods. A search on PubMed for English clinical trials published from 2014-2024 was conducted us ing the terms: “Chronic limb-threatening ischemia,” “Endovascular techniques,” “Bypass grafting,” “Allograft bypass,” “Infrainguinal bypass.” Results. Six clinical trials comparing bypass grafting and endovascular techniques for CLTI were analyzed. Initially (months 1-3), bypass surgery requires more follow-up visits to monitor healing and graft patency, affecting daily activities and requiring a longer hospital stay (7 days). This method results in fewer reinterventions and lower long-term amputation rates but has higher perioperative risk, especially for high-risk patients. Endovascular techniques allow faster recovery and improved QoL with reduced initial surgical risk but have a higher chance of restenosis, possibly necessitating repeat treatments and increasing long-term amputation risk. Conclusion. Bypass surgery may be preferred in severe cases with high amputation risk, while endovascular procedures are better suited for high-risk surgical patients, offering faster recovery with comparable long-term follow-up requirements.
metadata.dc.relation.ispartof: Revista de Științe ale Sănătății din Moldova = Moldovan Journal of Health Sciences
URI: https://cercetare.usmf.md/sites/default/files/inline-files/MJHS_11_3_2024_anexa2__site.pdf
http://repository.usmf.md/handle/20.500.12710/29534
ISSN: 2345-1467
Appears in Collections:Revista de Științe ale Sănătății din Moldova : Moldovan Journal of Health Sciences 2024 Vol. 11, Issue 2

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