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Revista Cubana de Angiología y Cirugía Vascular

versión On-line ISSN 1682-0037

Resumen

BRAVO YEPEZ, Cristian Vinicio; SAVIGNE GUTIERREZ, William Orlando  y  ALDAMA FIGUEROA, Alfredo. Types of arterial surgeries in diabetic patients. Rev Cubana Angiol Cir Vasc [online]. 2019, vol.20, n.1, e380. ISSN 1682-0037.

Introduction:

Arterial surgeries in diabetic patients allow reducing the frequency of amputations that are performed in these patients.

Objective:

To show the main types of arterial surgery in the lower limbs performed in diabetic patients and their results.

Methods:

Bibliographic search and synthesis study in which 162 materials (articles, medical records and theses) published in the MEDLINE, PubMed and SciELO reference databases were searched and indexed in the Web of Sciencies, Scopus, Redalyc and Latindex, using as descriptors: revascularization surgery, arterial permeability, diabetic foot, endovascular surgery, endarterectomy, percutaneous transluminal angioplasty. This led to the quoting of 43 articles and three medical records.

Results:

The technique in the revascularization of the aorto iliac sector includes the anatomical derivative surgery [aorto-femoral by-pass (bi or uni)] and extra-anatomical [by-pass (axillo-femoral, femoro-femoral), endarterectomy and endovascular surgery in the iliac sector. The surgical techniques to be applied in the femoro popliteal and distal sectors are the sequential by-pass, endarterectomy, sympathectomy, and endovascular treatment. It is important to consider the characteristics of patients separately to decide the type of surgery.

Conclusions:

The arterial surgeries in the diabetic patient are diverse and for the success of them it is necessary to always assess the surgical risk and the anatomy of the lesions of each patient.

Palabras clave : revascularization of lower limbs; vascular permeability; peripheral arterial disease.

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