Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
142 1 |
Ultima descărcare din IBN: 2024-01-29 09:21 |
SM ISO690:2012 CASTRAVEŢ, Andrei, ŢURCAN, Ala, TABAC, D, TINICĂ, Grigore, CEREVAN, Eugen, BARAT, Sorin, MANICA, Ştefan, GURA, Vladimir, BODIU, Ion, DANU, Silvia, UNGUREANU, Adela, RAILEANU, D., CHIRIAC, Cristina, TRÂN, Maxim, CASTRAVEȚ , Ad., CIUBOTARU, Anatol. Revascularizarea repetată în segmentul aorto-ilio-femural. In: Arta Medica , 2023, nr. 3S(88), p. 72. ISSN 1810-1852. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Arta Medica | ||||||
Numărul 3S(88) / 2023 / ISSN 1810-1852 /ISSNe 1810-1879 | ||||||
|
||||||
Pag. 72-72 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Scopul lucrării. În ultimii ani structura intervențiilor repetate în segmentul aorto-ilio- femural a suferit schimbări esențiale datorită implementării metodelor endovasculare pe scara largă. Intervențiile primare au putut fi bypass-uri și/sau angioplastii cu stentare, iar intervențiile repetate pot fi deschise, endovasculare sau hibride. Scopul lucrării este aprecierea posibilităților metodelor chirurgicale clasice, endovasculare și hibride cu implementarea unor gesturi chirurgicale noi pentru îmbunătățirea rezultatelor. Materiale și metode. În perioada anilor 2009-2022 s-au efectuat 439 intervenții de revascularizare repetată în segmentul aorto-iliofemural la 378 pacienți cu ocluzii sau stenoze severe ale segmentului revascularizat în antecedente, cât și cu anevrisme anastomotice. Rezultate. Letalitatea postoperatorie a fost de 2,7 %, iar rata amputațiilor înalte de 5%. Concluzii. Datorită implementării metodelor endovasculare și hibride apar noi posibilități în revascularizarea repetată în segmentul aorto-femural. La minimalizarea traumatismului chirurgical și a ratei complicațiilor contribuie și folosirea bypass-urilor extraanatomice, protezarea distală a a. femurale profunde și anume perfectarea acestor tehnici. |
||||||
Cuvinte-cheie Revascularizarea, hibrid, bypass, revascularization, Hybrid, bypass |
||||||
|
Cerif XML Export
<?xml version='1.0' encoding='utf-8'?> <CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'> <cfResPubl> <cfResPublId>ibn-ResPubl-195250</cfResPublId> <cfResPublDate>2023-09-20</cfResPublDate> <cfVol>88</cfVol> <cfIssue>3S</cfIssue> <cfStartPage>72</cfStartPage> <cfISSN>1810-1852</cfISSN> <cfURI>https://ibn.idsi.md/ro/vizualizare_articol/195250</cfURI> <cfTitle cfLangCode='RO' cfTrans='o'>Revascularizarea repetată în segmentul aorto-ilio-femural</cfTitle> <cfKeyw cfLangCode='RO' cfTrans='o'>Revascularizarea; hibrid; bypass; revascularization; Hybrid; bypass</cfKeyw> <cfAbstr cfLangCode='RO' cfTrans='o'><p>Scopul lucrării. În ultimii ani structura intervențiilor repetate în segmentul aorto-ilio- femural a suferit schimbări esențiale datorită implementării metodelor endovasculare pe scara largă. Intervențiile primare au putut fi bypass-uri și/sau angioplastii cu stentare, iar intervențiile repetate pot fi deschise, endovasculare sau hibride. Scopul lucrării este aprecierea posibilităților metodelor chirurgicale clasice, endovasculare și hibride cu implementarea unor gesturi chirurgicale noi pentru îmbunătățirea rezultatelor. Materiale și metode. În perioada anilor 2009-2022 s-au efectuat 439 intervenții de revascularizare repetată în segmentul aorto-iliofemural la 378 pacienți cu ocluzii sau stenoze severe ale segmentului revascularizat în antecedente, cât și cu anevrisme anastomotice. Rezultate. Letalitatea postoperatorie a fost de 2,7 %, iar rata amputațiilor înalte de 5%. Concluzii. Datorită implementării metodelor endovasculare și hibride apar noi posibilități în revascularizarea repetată în segmentul aorto-femural. La minimalizarea traumatismului chirurgical și a ratei complicațiilor contribuie și folosirea bypass-urilor extraanatomice, protezarea distală a a. femurale profunde și anume perfectarea acestor tehnici.</p></cfAbstr> <cfAbstr cfLangCode='EN' cfTrans='o'><p>Aim of study. In recent years, the structure of repeated interventions in the aorto-ilio-femoral segment has undergone significant changes due to the widespread implementation of endovascular methods. Primary interventions can involve bypasses and/or angioplasty with stenting, while repeated interventions can be open, endovascular, or hybrid. The objective of the study is to assess the possibilities of classical surgical, endovascular, and hybrid methods with the implementation of new surgical techniques to improve outcomes. Materials and methods. Between 2009 and 2022, 439 repeated revascularization procedures were performed in the aorto-iliofemoral segment on 378 patients with previous severe occlusions or stenoses of the revascularized segment, as well as anastomotic aneurysms. Results. The postoperative mortality rate was 2.7%, and the rate of major amputations was 5%. Conclusions. Due to the implementation of endovascular and hybrid methods, new possibilities arise for repeated revascularization in the aorto-femoral segment. Minimizing surgical trauma and complication rates is facilitated by the use of extra-anatomic bypasses, distal prosthetic grafting of the deep femoral artery, and the refinement of these techniques.</p></cfAbstr> <cfResPubl_Class> <cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId> <cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfResPubl_Class> <cfResPubl_Class> <cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId> <cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfResPubl_Class> <cfPers_ResPubl> <cfPersId>ibn-person-28782</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-18793</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-20672</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-35565</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-45963</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-45686</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-74785</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-17978</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-91280</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-17401</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-94675</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-72285</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-94673</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-94725</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-72436</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-4622</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> </cfPers_ResPubl> </cfResPubl> <cfPers> <cfPersId>ibn-Pers-28782</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-28782-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Castraveţ</cfFamilyNames> <cfFirstNames>Andrei</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-18793</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-18793-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Ţurcan</cfFamilyNames> <cfFirstNames>Ala</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-20672</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-20672-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Tabac</cfFamilyNames> <cfFirstNames>D</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-35565</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-35565-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Tinică</cfFamilyNames> <cfFirstNames>Grigore</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-45963</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-45963-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Cerevan</cfFamilyNames> <cfFirstNames>Eugen</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-45686</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-45686-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Barat</cfFamilyNames> <cfFirstNames>Sorin</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-74785</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-74785-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Manica</cfFamilyNames> <cfFirstNames>Ştefan</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-17978</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-17978-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Gura</cfFamilyNames> <cfFirstNames>Vladimir</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-91280</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-91280-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Bodiu</cfFamilyNames> <cfFirstNames>Ion</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-17401</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-17401-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Danu</cfFamilyNames> <cfFirstNames>Silvia</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-94675</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-94675-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Ungureanu</cfFamilyNames> <cfFirstNames>Adela</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-72285</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-72285-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Raileanu</cfFamilyNames> <cfFirstNames>D.</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-94673</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-94673-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Chiriac</cfFamilyNames> <cfFirstNames>Cristina</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-94725</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-94725-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Trân</cfFamilyNames> <cfFirstNames>Maxim</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-72436</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-72436-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Castraveț </cfFamilyNames> <cfFirstNames>Ad.</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-4622</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-4622-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2023-09-20T24:00:00</cfStartDate> <cfFamilyNames>Ciubotaru</cfFamilyNames> <cfFirstNames>Anatol</cfFirstNames> </cfPersName_Pers> </cfPers> </CERIF>