CALCIFICAÇÃO VASCULAR SEVERA NA DOENÇA ARTERIAL PERIFÉRICA: EXISTE LIMITE PARA A REVASCULARIZAÇÃO?
DOI:
https://doi.org/10.48750/acv.137Palavras-chave:
Vascular calcification, peripheral bypass, diabetes mellitus, chronic kidney diseaseResumo
A calcificação vascular está associada a um agravamento das categorias de isquemia nos doentes com doença arterial periférica de forma independente e representa um enorme desafio quer no tratamento endovascular quer na cirurgia de revascularização. Apresentamos um caso clínico de um doente com múltiplos fatores de risco cardiovasculares e com fatores de risco para calcificação (diabetes e a doença renal crónica), com isquemia crítica, adequadamente tratada com um bypass poplíteo-pedioso.
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Referências
1. Rocha-Singh, K.J., T. Zeller, and M.R. Jaff, Peripheral arterial calcification:
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for systemic calcified atherosclerosis. Arterioscler Thromb Vasc
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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.
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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Publicado
2018-06-07
Como Citar
1.
Mendes D, Machado R, Ferreira V, Gonçalves J, Teixeira G, Antunes I, Veiga C, Veterano C, de Almeida R. CALCIFICAÇÃO VASCULAR SEVERA NA DOENÇA ARTERIAL PERIFÉRICA: EXISTE LIMITE PARA A REVASCULARIZAÇÃO?. Angiol Cir Vasc [Internet]. 7 de Junho de 2018 [citado 24 de Novembro de 2024];14(2):156-8. Disponível em: https://acvjournal.com/index.php/acv/article/view/137
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