INDICATION OF THROMBOENDARTERECTOMY WITH RING DISSECTOR IN TASC C AND D FEMOROPOPLITEAL LESIONS –A RE-EVALUATION
Abstract:
Purpose: to evaluate the effectiveness and benefits of Ring Dissector endarterectomy performed in patients with TASC C and D femoropopliteal lesions. Materials and methods: we performed a retrospective study, obtaining data from the medical records. The criteria for inclusion were the presence of TASC C and D lesions, in which endarterectomy with ring dissector was performed between January2016 and February2019 in the Vascular Surgery Department. Results: from demographics data, most were men, aged over 60. Most of the patients had lower limb pain at the moment of admission. They were also suffering from multiple conditions, many from heart diseases (40%) following chronic treatment, especially with anticoagulants (41%). As a major risk factor, we have identified a large number of smokers: 58%. In terms of intervention, the average time was 85 minutes. 93% of the patients were discharged without complications. Conclusions: the multiple benefits offered by the ring dissector endarterectomy: faster wound healing, native artery preservation, shorter operative time, lower rate of infections and many others. Analysing all these, this technique can be considered the primary therapeutic option in TASC C and D femoropopliteal lesions
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