One of the most frequent vascular diseases in northeastern of Turkey: Thromboangiitis obliterans or Buerger's disease (experience with 344 cases)

被引:36
作者
Ates, Azman [1 ]
Yekeler, Ibrahim
Ceviz, Munacettin
Erkut, Bilgehan
Pac, Mustafa
Basoglu, Ahmet
Kocak, Hikmet
机构
[1] Ataturk Univ, Sch Med, Dept Cardiovasc Surg, TR-25240 Erzurum, Turkey
[2] Siyami Ersek Thorac & Cardiovasc Surg Res & Train, Dept Cardiothorac Surg, Istanbul, Turkey
[3] Turkiye Yuksek Ihtisas Hosp, Dept Cardiovasc Surg, Ankara, Turkey
[4] On Dokuz Mayis Univ, Sch Med, Dept Thorac Surg, Samsun, Turkey
关键词
Buerger's disease; sympathectomy; vascular reconstruction;
D O I
10.1016/j.ijcard.2005.12.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: This is a retrospective clinical study on adult patients treated surgically for Buerger's disease in our region. Methods: In our clinic, 344 patients with Buerger's disease were surgically treated between 1980 and 2004. The major complaints included foot coldness in 312 (90.6%) patients, color changes in 290 (84.3%), rest pain in 160 (46.5%), claudication in 166 (48.2%) and necrotic ulcers in 185 (53.1%). Lumbar sympathectomy was made in 278 (80.2%) patients, thoracic sympathectomy in 7 (2.2%), thoracic and lumbar sympathectomy in 12 (3.6%), lumbar sympathectomy and femoropopliteal or femorotibial bypass in 30 (9%), and femoropopliteal or femorotibial bypass in 17 (5%). Results: Color changes were improved in 230 (79.3%) patients, food coldness were decreased in 288 (92.3%) and rest pains were improved in 43 (26.8%). Intermittent claudications decreased in 132 of 166 patients. Necrotic ulcers healed in 30 of 185 patients. Amputation was made totally in 155 (53%) patients in 10years. Conclusions: As a nonatherosclerotic, segmental, inflammatory disease, Buerger's disease is casually related to tobacco use. The main goal is to discontinue the use of tobacco. Sympathectomy may be helpful in healing the ulcers and decreasing the symptoms. Vascular reconstruction is rarely possible for patients with Buerger's disease due to segmental involvement and distal nature of the disease. (c) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:147 / 153
页数:7
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