Introduction:

Peripheral arterial disease, specifically in the aortoiliac sector, is multifactorial. It has as main cause the obliterating atheroesclerosis, and the clinical manifestations are changeable and the intermittent claudication is the most frequent, that is why it is underdiagnosed.

Objective:

To characterize the patients with stenocclusive aortoiliac disease.

Methods:

Descriptive observational, retrospective and cross-sectional study in 86 patients admitted in hospital, all of them over 18 years old with stenocclusive aortoiliac disease. The variables included were: age, sex, risk factors, Fontaine classification, index of pressures, angiography pattern, behaviour, types of vascular surgery, complications, evolution, and overall surgical lethality. The patients were attended in “Calixto García Iñiguez” University Hospital from 2015 to 2018.

Results:

It was found that 72.0% of the patients were older than 60 years and the 67.4% were men. The most frequent risk factors were the smoking habit (73.9%) and hypertension (74.4%); 34.8% presented pain in rest and 41.8% presented lesions. The 83.8% had an anklebrachial index lower or equal to 0.4. The 52.4% classified as Darling type III. There were 27 patients under revascularization and 44.2% had a primary amputation. The 27.6% of the cases had complications and the evolution was favourable in the 54.7%. The overall surgical lethality was of 3.03%.

Conclusions:

It is observed that men over 60 years old with risk factors were proner to suffer from peripheral arterial disease. It was achieved a favourable evolution in most of the cases with a low index of overall surgical lethality.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )