ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ CAN THIỆP NỘI MẠCH TRÊN BỆNH NHÂN TẮC HẸP ĐỘNG MẠCH CHI DƯỚI MẠN TÍNH TẠI BỆNH VIỆN GIA AN 115

Abstract

Background: Chronic lower peripheral artery disease is common in elderly people, progresses silently, recurs many times and tends to increase in recent years. Endovascular intervention has been becoming a new approach with many advantages such as: less invasive, short treatment time and fast recovery. Objectives: To describe the imaging characteristics in patients with chronic lower arterial stenosis occlusive disease and evaluate the results of endovascular intervention therapy in patients with chronic lower arterial stenosis occlusive disease. Materials and methods: A cross-sectional study was conducted on 32 patients diagnosed with chronic lower extremity peripheral artery disease (PAD) who were indicated for endovascular intervention at Gia An 115 Hospital from from March 2023 to April 2025. Results: A total of 32 patients were enrolled in the study. The mean patient age was 68.75 years, and 62.5% were male. The most common cardiovascular risk factors included hypertension, diabetes mellitus, smoking, and dyslipidemia. Target vessels for angioplasty included the aortoiliac arteries (12.5%), femoropopliteal arteries (37.5%), and below-the-knee arteries (50%). According to the Trans-Atlantic Inter-Society Consensus II (TASC II) classification, the majority of lesions were categorized as type C (40.5%). Technical success of revascularization was achieved in 90.6% of cases. The overall complication rate was 18.8%. At 30-day follow-up, the clinical success rate was 84.3%. Conclusions: Endovascular intervention represents a safe, minimally invasive, and effective therapeutic option for chronic lower extremity peripheral artery disease, offering a high technical success rate and favorable short-term clinical outcomes.