Original scientific paper
Treatment of Advanced Peripheral Arterial Insuffifi ciency in the Elderly
Davor Primc
; University of Rijeka, University Hospital Center Rijeka, Department of Surgery, Rijeka, Croatia
Aldo Ivančić
; University of Rijeka, University Hospital Center Rijeka, Department of Surgery, Rijeka, Croatia
Igor Saftić
; University of Rijeka, University Hospital Center Rijeka, Department of Surgery, Rijeka, Croatia
Josip Španjol
; University of Rijeka, University Hospital Center Rijeka, Department of Urology, Rijeka, Croatia
Ana Fućak Primc
; University of Rijeka, University Hospital Center Rijeka, Department of Anesthesiology, Rijeka, Croatia
Andrica Lekić
; University of Rijeka, School of Medicine, Department of Physics, Rijeka, Croatia
Abstract
Peripheral arterial insuffi ciency appears at all stages regardless of the patient age; however its appearance is most
common in the elderly in which cases it mostly appears as stage described by Fontaine as stage III or IV. The most common
cause of peripheral arterial insuffi ciency is atherosclerotic degeneration, and is remarkably often accompanied by
the diabetes. In the years 2012 and 2013 department of vascular surgery, University Hospital Rijeka admitted 169 patients
older than 70 with peripheral arterial insuffi ciency of type Fontaine III and IV. That number represents 68.8% of total
number of patients admitted for peripheral arterial insuffi ciency. The goal of this research is to identify to what extent
and in what percentage can patients older than 70 with advanced peripheral arterial insuffi ciency be subjected to vascular
treatment and if there exist and absolute indication for angiographic treatment of such patients. In majority of patients,
148 of them, three or more comorbidities were present. Diabetes was present at almost half of patients, to be exact 46.7%.
Assessment of possibility for vascular treatment and the need for angiographic treatment was followed in patients in three
age groups: 70–75 years of age, 76–80 years of age and over 80 years of age. Angiography was performed on 69 patients
and the insight into angiographic fi nding resulted in only 33 patients being subjected to some type of vascular treatment.
From the total number of patient’s subjected to vascular treatment 20 had symptoms of Fontaine III while the remaining
13 had symptoms of Fontaine IV. Amputation procedure was performed 119 times. The research shows that angiographic
treatment is not a routine treatment in mentioned patients and that the number of vascular procedures is signifi cantly
higher in the 70–75 years age group.
Keywords
peripheral arterial disease; elderly; atherosclerosis; diabetes mellitus; angiography; treatment
Hrčak ID:
147690
URI
Publication date:
30.3.2015.
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