{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T05:31:06Z","timestamp":1734499866823,"version":"3.30.2"},"reference-count":17,"publisher":"ALUNA","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Aim: To compare the results of surgical treatment of patients with acute lower limb artery occlusion with and without intraoperative angiography.\nMaterials and Methods: Comparative analysis was conducted on the surgical treatment outcomes of 119 patients with acute lower limb artery occlusion treated at the Vascular Surgery Center of the Clinical Hospital \u226aFeofaniya\u226b State Administrative Department from 2017 to 2022. The enrolled patients were divided into two groups: A \u2013 70 (58,8%) patients, underwent open thrombectomy with Fogarty catheters in order to correct the acute lower limb ischemia; B \u2013 49 (41,2%) patients, underwent open thrombectomy with Fogarty catheters followed by control intraoperative angiography. Based on the angiography results after thrombectomy, balloon angioplasty, open surgical interventions on the arteries, or thrombectomy alone were performed. The follow-up period was 12 months after the initial intervention.\nResults: The cases of thrombectomy with positive immediate results tended to be higher in group B, as compared to the group A: 98,0% vs. 88,6%, respectively (p=0,080). The annual rate of recurrent artery occlusion was significantly higher in group A patients than in group B patients \u2013 30,7% versus 8,3% (p&lt;0,001), suggesting the benefits of the aforementioned approach at 12-months follow-up period.\nConclusions: The use of intraoperative angiography and arterial interventions, when indicated, during thrombectomy for acute lower limb artery occlusion significantly reduces the rate of recurrent arterial occlusive events over the 12-months observation period.<\/jats:p>","DOI":"10.36740\/merkur202405110","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T13:15:38Z","timestamp":1734441338000},"page":"541-546","source":"Crossref","is-referenced-by-count":0,"title":["The role of intraoperative angiography in treating acute lower limb artery occlusion"],"prefix":"10.36740","volume":"52","author":[{"given":"Sergii N.","family":"Didenko","sequence":"first","affiliation":[{"name":"CLINICAL HOSPITAL \u226aFEOFANIYA\u226b STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitalii Y.","family":"Subbotin","sequence":"additional","affiliation":[{"name":"CLINICAL HOSPITAL \u226aFEOFANIYA\u226b STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yurii M.","family":"Hupalo","sequence":"additional","affiliation":[{"name":"STATE INSTITUTION OF SCIENCE \u226aCENTER OF INNOVATIVE HEALTHCARE TECHNOLOGIES\u226b STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleksandr M.","family":"Orlych","sequence":"additional","affiliation":[{"name":"KYIV CITY CLINICAL HOSPITAL \u2116 1, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrii V.","family":"Ratushniuk","sequence":"additional","affiliation":[{"name":"STATE INSTITUTION \u226aNATIONAL SCIENTIFIC CENTER OF SURGERY AND TRANSPLANTATION NAMED AFTER O. O. SHALIMOV TO NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE\u226b, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleksandr V.","family":"Liksunov","sequence":"additional","affiliation":[{"name":"STATE INSTITUTION \u226aNATIONAL SCIENTIFIC CENTER OF SURGERY AND TRANSPLANTATION NAMED AFTER O. O. SHALIMOV TO NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE\u226b, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Levin SR, Arinze N, Siracuse JJ. Lower extremity critical limb ischemia: A review of clinical features and management. Trends Cardiovasc Med. 2020;30(3):125-130. doi: 10.1016\/j.tcm.2019.04.002.","DOI":"10.1016\/j.tcm.2019.04.002"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Obara H, Matsubara K, Kitagawa Y. Acute Limb Ischemia. Ann Vasc Dis. 2018;11(4): 443-448. doi: 10.3400\/avd.ra.18-00074.","DOI":"10.3400\/avd.ra.18-00074"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"3. Norgren L. Inter-Society Consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(1):S1-75. doi: 10.1016\/j.jvs.2006.12.037.","DOI":"10.1016\/j.ejvs.2006.09.024"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Jakubiak GK, Pawlas N, Cie\u015blar G, Stanek A. Chronic Lower Extremity Ischemia and Its Association with the Frailty Syndrome in Patients with Diabetes. Int J Environ Res Public Health. 2020;17(24):9339. doi: 10.3390\/ijerph17249339.","DOI":"10.3390\/ijerph17249339"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5. Almasri J, Adusumalli J, Asi N et al. A systematic review and meta-analysis of revascularization outcomes of infrainguinal chronic limb-threatening ischemia. J Vasc Surg. 2019;69(6):126-136. doi: 10.1016\/j.jvs.2018.01.071.","DOI":"10.1016\/j.jvs.2018.01.066"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"6. Mayor J, Chung J, Zhang Q et al. Using the Society for Vascular Surgery Wound, Ischemia, and foot Infection classification to identify patients most likely to benefit from revascularization. J Vasc Surg. 2019;70(3):776-785.e1. doi: 10.1016\/j.jvs.2018.11.039.","DOI":"10.1016\/j.jvs.2018.11.039"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7. Benedetto F, Spinelli D, Pipito N et al. Inframalleolar bypass for chronic limb-threatening ischemia. Vasc Med. 2021;26(2):187-194. doi: 10.1177\/1358863X20978468.","DOI":"10.1177\/1358863x20978468"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8. Baril DT, Patel VI, Judelson DR et al. Outcomes of lower extremity bypass performed for acute limb ischemia. J Vasc Surg 2013;58:949-956. doi: 10.1016\/j.jvs.2013.04.036.","DOI":"10.1016\/j.jvs.2013.04.036"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"9. Conte MS, Bradbury AW, Kolh P et al. Global vascular guidelines on the management of chronic limb-threatening ischemia. J Vasc Surg. 2019;69(6S):3S-125S.e40. doi: 10.1016\/j.jvs.2019.02.016.","DOI":"10.4103\/ijves.ijves_50_19"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Polonsky TS, McDermott MM. Lower Extremity Peripheral Artery Disease Without Chronic Limb-Threatening Ischemia: A Review. JAMA. 2021;325(21):2188-2198. doi: 10.1001\/jama.2021.2126.","DOI":"10.1001\/jama.2021.2126"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"11. Das SK, YuanYF, Li MQ. Predictors of delayed wound healing after successful isolated below-the-knee endovascular intervention in patients with ischemic foot ulcers. J Vasc Surg. 2018;67(4):1181-1190. doi: 10.1016\/j.jvs.2017.08.077.","DOI":"10.1016\/j.jvs.2017.08.077"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"12. Hess CN, Huang Z, Patel MR et al. Acute limb ischemia in peripheral artery disease: insights from EUCLID. Circulation. 2019;140(7):556-565. doi: 10.1161\/CIRCULATIONAHA.119.039773.","DOI":"10.1161\/circulationaha.119.039773"},{"key":"ref12","unstructured":"13. Didenko SM. Patent \u2116 114970 Ukraine, u201610743, IPC A61B 6\/00, A61K 49\/04 (2006.01). The method of angiographic examination of the arteries of the lower extremity in a patient with the ischemic form of the diabetic foot syndrome."},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"14. Meini S, Dentali F, Melillo E et al. Prostanoids for Critical Limb Ischemia: A Clinical Review and Consideration of Current Guideline Recommendations. Angiology. 2020;71(3):226-234. doi: 10.1177\/0003319719889273.","DOI":"10.1177\/0003319719889273"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"15. Conte MS, Bradbury AW, Kolh P et al. Global vascular guidelines on the management of chronic limb-threatening ischemia. J Vasc Surg. 2019;69(6S):3S-125S.e40. doi: 10.1016\/j.jvs.2019.02.016.","DOI":"10.4103\/ijves.ijves_50_19"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"16. Levin SR, Arinze N, Siracuse JJ. Lower extremity critical limb ischemia: A review of clinical features and management. Trends Cardiovasc Med. 2020;30(3):125-130. doi: 10.1016\/j.tcm.2019.04.002.","DOI":"10.1016\/j.tcm.2019.04.002"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"17. Aday AW, Matsushita K. Epidemiology of Peripheral Artery Disease and Polyvascular Disease. Circ Res. 2021;128(12):1818-1832. doi: 10.1161\/CIRCRESAHA.121.318535.","DOI":"10.1161\/circresaha.121.318535"}],"container-title":["Polski Merkuriusz Lekarski"],"original-title":[],"language":"en","deposited":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T13:15:42Z","timestamp":1734441342000},"score":1,"resource":{"primary":{"URL":"https:\/\/polskimerkuriuszlekarski.pl\/wp-content\/uploads\/library\/PolMerkurLek2024i5net.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":17,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.36740\/merkur202405110","archive":["Internet Archive"],"relation":{},"ISSN":["1426-9686"],"issn-type":[{"value":"1426-9686","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]}}}