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首页> 外文期刊>Sao Paulo Medical Journal >Use of arteriography for the initial evaluation of patients with intermittent lower limb claudication
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Use of arteriography for the initial evaluation of patients with intermittent lower limb claudication

机译：动脉造影用于间歇性下肢c行患者的初步评估

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CONTEXT: Many patients with intermittent claudication continue to be forwarded to the vascular surgeon for initial evaluation after arteriography has already been accomplished. OBJECTIVE: The main objective of this work was to analyze the usefulness and the need for this procedure. TYPE OF STUDY: Retrospective study. SETTING: The patients were divided into two groups: Group 1, with the arteriography already performed and Group 2 without the initial arteriography. PARTICIPANTS: One hundred patients with intermittent claudication were retrospectively studied. Other specialists had forwarded them for the first evaluation of intermittent claudication, without any previous treatment. MAIN MEASUREMENTS: All patients were treated clinically for at least a 6-month period. The total number of arteriographies performed in the two groups was compared and the need and usefulness of the initial arteriography (of Group 1) was also analyzed. RESULTS: The evolution was similar for both groups. The total number of arteriographies was significantly higher in Group 1 (Group 1 with 53 arteriographies vs. Group 2 with 7 arteriographies). For this group, it was found that arteriography was only useful in five cases (10%), because the surgeries were based on their findings. However, even in those cases, no need for arteriography was observed, as the procedure could have been performed at the time of surgical indication. CONCLUSION: There are no indications for arteriography in the early evaluation of patients with intermittent claudication, because it does not modify the initial therapy, independent of its result. In cases where surgical treatment is indicated, this procedure should only be performed prior to surgery.
机译：背景：在完成动脉造影后，许多间歇性art行患者继续被转诊至血管外科医师进行初步评估。目的：这项工作的主要目的是分析该程序的有用性和必要性。研究类型：回顾性研究。地点：将患者分为两组：第一组已经进行了动脉造影，第二组没有进行初始动脉造影。参与者：回顾性研究了100例间歇性lau行患者。其他专家已将它们转给间歇性lau行的首次评估，未经任何先前的治疗。主要测量：所有患者均接受了至少6个月的临床治疗。比较两组中的动脉造影总数，并分析（第1组）初始动脉造影的需要和有用性。结果：两组的进化相似。第1组的动脉造影总数明显更高（第1组有53个动脉造影，第2组有7个动脉造影）。对于这一组，发现动脉造影仅在五例病例中有用（10％），因为手术是基于他们的发现。但是，即使在那些情况下，也没有观察到需要进行动脉造影，因为该手术可以在手术指征时进行。结论：在间歇性lau行患者的早期评估中没有动脉造影的指征，因为它不改变初始治疗，与结果无关。在需要手术治疗的情况下，此程序仅应在手术前进行。

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