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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/29534
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dc.contributor.authorGodfree, James
dc.date.accessioned2024-12-19T12:50:28Z
dc.date.accessioned2024-12-22T06:37:54Z
dc.date.available2024-12-19T12:50:28Z
dc.date.available2024-12-22T06:37:54Z
dc.date.issued2024
dc.identifier.citationGODFREE, James. 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(3), an. 2, p. 523. ISSN 2345-1467.en_US
dc.identifier.issn2345-1467
dc.identifier.urihttps://cercetare.usmf.md/sites/default/files/inline-files/MJHS_11_3_2024_anexa2__site.pdf
dc.identifier.urihttps://repository.usmf.md/handle/20.500.12710/29534
dc.descriptionUniversitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, Chişinău, Republica Moldovaen_US
dc.description.abstractBackground. 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 using 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.en_US
dc.publisherUniversitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” din Republica Moldovaen_US
dc.relation.ispartofRevista de Științe ale Sănătății din Moldova = Moldovan Journal of Health Sciences: Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 16-18 octombrie, 2024en_US
dc.subjectEndovascular techniquesen_US
dc.subjectbypass graftingen_US
dc.subjectallograft bypassen_US
dc.titlePrimary surgical procedures to enhance blood flow and prevent amputation in cases of chronic limb-threatening ischemia in contrast to endovascular techniques and bypass graftingen_US
dc.typeOtheren_US
Appears in Collections:Revista de Științe ale Sănătății din Moldova : Moldovan Journal of Health Sciences 2024 Vol. 11, Issue 2

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