Aorto Femoral Bypass Graft in Chronic Limb Ischemia Patient

Abstract

A 44-year-old man was admitted to hospital to be performed re-thrombectomy after previously performed thrombectomy at the referring hospital but did not show clinical improvement. CT angiography results before re-thrombectomy showed a central thrombus measuring 1.1 cm in diameter, and an impression of 2.6 cm long at the branching of the right external Iliaca artery which caused total obstruction of the right illiaca external artery to the distal. Aortofemoral bypass graft surgery is a procedure utilized commonly for the treatment of aortoiliac occlusive disease. The treatment given to manage symptoms if medical management or minimally invasive therapy, such as balloon angioplasty and stenting, was unsuccessful or unsuitable for the patient. Aortofemoral bypass graft surgical procedure was performed on the patient. However, post procedure angiography showed no visible flow through the newly placed graft. A repair graft procedure was planned for the patient, but the patient refused to undergo further surgical procedures.

Clinical Profile of Peripheral Arterial Disease Inpatients at Dr. Soetomo General Hospital Surabaya from 2019-2021

“…CLI is characterized as a progressive claudication that may develop into nocturnal rest discomfort and can cause tissue loss in the form of ulcers or gangrene (27,28). The clinical presentation of CLI depends on the degree of ischemia, the presence of an infection, which can exacerbate pain even in the absence of severe ischemia, and concomitant neuropathy that can cause tissue injury or hide pain due to the ulcer process (29). Many of the CLI findings in this study may be attributed by patients who only recently reported their complaints that had been prevalent for 6 months to a year earlier.…”

Emergency thrombectomy in acute upper limb ischemia patient with diabetes mellitus

“…2 ALI is the part of peripheral artery disease (PAD) -a blood vessel disorder characterized by progressive narrowing and blockage of blood vessels mainly due to atherosclerosis, ranging from mild plaque formation to chronic vessel occlusion. [3][4][5] Risk factors for PAD include smoking, diabetes mellitus (DM), obesity, high blood pressure, high cholesterol, aging, genetics, heart disease and stroke. [3][4][5] DM is a major risk factor for PAD 6 and associated with other diseases.…”

“…[3][4][5] Risk factors for PAD include smoking, diabetes mellitus (DM), obesity, high blood pressure, high cholesterol, aging, genetics, heart disease and stroke. [3][4][5] DM is a major risk factor for PAD 6 and associated with other diseases. 7,8 Epidemiological data show a strong relationship between PAD and DM with the prevalence of PAD in DM patients is 20%.…”