Đánh giá kết quả can thiệp nội mạch ở bệnh nhân thiếu máu chi dưới trầm trọng

Evaluate the results of endovascular intervention in patients with critical limb ischemia. Subjects and methods: Clinical intervention study. Evaluate treatment results after 1, 3, 6, and 12 months in 119 patients undergoing endovascular intervention with critical limb ischemia at 108 Military Central Hospital and Hanoi Heart Hospital from January 2018 – March 2023. Results: The overall rate of complications was 4.2%. Technical success was 88.8%; clinical success was 89.5%; hemodynamically success was 78.3%. After 12 months of intervention, most evaluated patients had Rutherford stages, mainly from 1-3. The ulcer healing/necrosis rate after 1 month was 3.1%; after 12 months, it was 74.6%. The average ulcer healing time was 4.9 ± 2.7 months. After 12 months of intervention, 42/119 patients had restenosis after intervention (35.3%), 46/119 patients had restenosis after intervention (38.7%), there were 26/119 patients with indications for re-intervention after intervention (21.8%). Conclusion: Endovascular interventional treatment in patients with critical limb ischemia has good technical, clinical, and hemodynamic results and a relatively high wound healing rate.