Abstract
The Brazilian population profile for development of PAD is similar to many other western countries, with smoking and diabetes among the most prevalent related conditions. Review of one single institution, the major Brazilian public hospital, from the University of São Paulo, during a one year period showed that from 523 vascular interventions, 139 (26,5%) were for PAD and critical ischemia, of these 51,3% being angioplasty, 39,5% bypass grafts and 9,2% endarterectomy. Although the trend and tradition of Brazilian Vascular Surgery is towards limb salvage procedures, a significant number of patients only seek medical assistance in the condition of non salvageable feet, explaining a large number of primary amputations in the emergency setting: 168 amputations were performed in the same period. Distribution by level shows that 42 % are minor amputation, considered below the ankle joint, and 56% are major amputation. Proportion of transtibial amputation over transfemoral is 1,42, as a program of level preservation, including eventually revascularization procedure even just for that purpose is proposed.
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References
Monteiro CA, Cavalcante TM, Moura EC, Claro RM, Szwarcwald CL. Population-based evidence of a strong decline in the prevalence of smokers in Brazil (1989–2003). 2007. http://www.fsp.usp.br/nupens/smokers.pdf.
Spichler D, Miranda F, Spichler ES, Franco LJ. Major lower extremity amputations related to peripheral arterial disease and diabetes mellitus in the city of Rio de Janeiro. J Vasc Bras. 2004;3(2):111–22.
Malerbi DA, Franco LJ. Multicenter study of the prevalence of diabetes mellitus and impaired glucose tolerance in the urban Brazilian population aged 30-69 yr. The Brazilian Cooperative Group on the Study of Diabetes Prevalence. Diabetes Care. 1992;15(11):1509–16.
De Luccia N. Retrograde angioplasty during a transtibial amputation. J Vasc Surg. 2015;61(6):186S–7.
Albers M, Fratezi AC, De Luccia N. Assessment of quality of life of patients with severe ischemia as a result of infrainguinal arterial occlusive disease. J Vasc Surg. 1992;16(1):54–9.
Romiti M, Albers M, Brochado-Neto FC, Durazzo A, Pereira CA, De Luccia N. Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia. J Vasc Surg. 2008;47(5):975–81.
De Luccia N, Appolonio F, Espirito Santo FR. Arm vein bypass from distal deep femoral to superior medial genicular artery for limb salvage. J Vasc Surg. 2009;50(5):1196.
De Luccia N, Sassaki P, Durazzo A, Sandri G, Kikuchi M, et al. Limb salvage using bypass to the perigeniculate arteries. Eur J Vasc Endovasc Surg. 2011;42:374–8.
De Luccia N, Queiroz AB, Mulatti GC, Espírito Santo FR, Sassaki PI, Schneidwind KDR. Lateral approach to the peroneal artery without resection of the fibula for lower limb revascularization. J Vasc Surg. 2013;59:857–9.
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De Luccia, N., Utsunomia, K., Benabou, S., Schneidwind, K.R. (2017). Peripheral Artery Disease: A Brazilian Perspective. In: Dardik, A. (eds) Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-33745-6_17
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DOI: https://doi.org/10.1007/978-3-319-33745-6_17
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