SEVERE VASCULAR CALCIFICATION IN PERIPHERAL ARTERIAL DISEASE: IS THERE A LIMIT TO REVASCULARIZATION?
DOI:
https://doi.org/10.48750/acv.137Keywords:
Calcificação vascular, bypass periférico, diabetes mellitus, doença renal crónicaAbstract
Vascular calcification is associated with a worsening of the ischemia categories in patients with peripheral arterial disease independently and represents a huge challenge in both endovascular treatment and revascularization surgery. We present a case report of a patient with multiple cardiovascular risk factors and with risk factors for calcification (diabetes and chronic kidney disease), with critical ischemia, adequately treated with a popliteal-pedous bypass.
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References
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calcifications in diabetics. Acta Med Scand, 1968. 183(5): p. 449-54.
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prevalence, mechanism, detection, and clinical implications.
Catheter Cardiovasc Interv, 2014. 83(6): p. E212-20.
2. Albanese, I., et al., Atherosclerotic Calcification: Wnt Is the Hint. J
Am Heart Assoc, 2018. 7(4).
3. Allison, M.A., M.H. Criqui, and C.M. Wright, Patterns and risk factors
for systemic calcified atherosclerosis. Arterioscler Thromb Vasc
Biol, 2004. 24(2): p. 331-6.
4. Ho, C.Y. and C.M. Shanahan, Medial Arterial Calcification: An Overlooked
Player in Peripheral Arterial Disease. Arterioscler Thromb
Vasc Biol, 2016. 36(8): p. 1475-82.
5. Prasad, R., et al., Non-healing ulcer of right foot due to Monckeberg's
arteriosclerosis. BMJ Case Rep, 2015. 2015.
6. Zettervall, S.L., et al., Association of arterial calcification with
chronic limb ischemia in patients with peripheral artery disease.
J Vasc Surg, 2018. 67(2): p. 507-513.
7. Ferraresi, R., et al., Long-term outcomes after angioplasty of isolated,
below-the-knee arteries in diabetic patients with critical limb
ischaemia. Eur J Vasc Endovasc Surg, 2009. 37(3): p. 336-42.
8. Karmody, A.M., et al., Peroneal artery bypass: a reappraisal of its
value in limb salvage. J Vasc Surg, 1984. 1(6): p. 809-16.
9. Christensen, N.J., Muscle blood flow, measured by and vascular
calcifications in diabetics. Acta Med Scand, 1968. 183(5): p. 449-54.
10. Ballotta, E., et al., Patency and limb salvage rates after distal
revascularization to unclampable calcified outflow arteries. J Vasc
Surg, 2004. 39(3): p. 539-46.
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Published
2018-06-07
How to Cite
1.
Mendes D, Machado R, Ferreira V, Gonçalves J, Teixeira G, Antunes I, Veiga C, Veterano C, de Almeida R. SEVERE VASCULAR CALCIFICATION IN PERIPHERAL ARTERIAL DISEASE: IS THERE A LIMIT TO REVASCULARIZATION?. Angiol Cir Vasc [Internet]. 2018 Jun. 7 [cited 2024 Nov. 24];14(2):156-8. Available from: https://acvjournal.com/index.php/acv/article/view/137
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Section
Vascular Image