| Abstract | Cilj istraživanja: Odrediti uspješnost kissing tehnike u odnosu na rizične faktore u pacijenata liječenih zbog obostrane stnenoze zajedničkih ilijakalnih arterija na Odjelu za radiologiju KBC-a Split u razdoblju od 1.1.2009 do 1.1.2017.
Materijali metode: Radi se o retrospektivnom istraživanju. Ispitanici su svi pacijenti podvrgnuti interventnom radiološkom zahvatu kissing stentiranja. Pacijentima je određena dob, spol, TASC klasifikacija, tip suženja arterije (okluzija ili stenoza), širina stenta, dužina stenta, pušenje, komorbidfiteti (hipertenzija i dijabetes), simptomatologija, daljnje steno-okluzivne promjene, rane komplikacije, primarna prohodnost nakon jedne, dvije i tri godine te sekundarna prohodnost.
Rezultati: Ispitanike je činilo 17 (50%) muškaraca i 17 (50%) žena. Medijan dobi muških pacijenata je bio 63 a ženskih pacijentica 67 godina. Učestalost ranih komplikacija je bila 14% bez statistički značajne povezanosti sa rizičnim čimbenicima. Primarna prohodnost je bila 88,2%, 79,4%, te 73,6% nakon jedne dvije i tri godine. 6 (17,6%) pacijenata je podvrgnuto restentiranju a 3 (8,8%) operacijskom zahvatu aortobifemoralnog bypassa. Nije dokazana statistički značajna poveznaost rizičnih čimbenika sa primarnom prohodnosti nakon jedne dvije i tri godine.
Zaključak: Nema razlike između muškaraca i žena, dobnih skupina, oboljelih od dijabetesa i hipertenzije i pušača i nepušača u odnosu na rane komplikacije i primarnu prohodnost nakon jedne, dvije i tri godine. Također nema razlike u širini stenta, dužini lezije, prisutnosti daljnjih stenotičnih promjena na nogama i kritične ishemije u odnosu na rane komplikacije i primarnu prohodnost nakon jedne, dvije i tri godine. |
| Abstract (english) | Purpose: Determine the success of kissing technique in relation to the risk factors in patients treated for significant stenosis of common iliac arteries at KBC Split radiology department from 1.1.2009. to 1.1.2017.
Methods: This is a retrospective study. All patients were subjected to the intervention operation of kissing stenting. Patients were assigned age, gender, TASC classification, arterial narrowing type (occlusion or stenosis), stent width, stent length, smoking, comorbidities (hypertension and diabetes), symptomatology, early complications, primary patency after one, two and three years following surgery.
Results: The patients were 17 (50%) male and 17 (50%) women. The median age of male patients was 63 and female 67 years. The incidence of early complications was 14% without statistically significant association with risk factors. The primary patency was 88.2%, 79.4%, and 73.6% after one, two and three years. 6 (17.6%) patients were tretated because of restenosis by applying more stents and 3 (8.8%) were treated with aortic bifemoral bypass surgery. No statistically significant correlation of risk factors with primary patnecy after one, two and three years has been demonstrated.
Conclusion: There is no difference between men and women, age groups, diabetes and hypertension, smokers and non-smokers compared to early complications and primary fluctuations after one, two and three years. There is also no difference in the width of the stent, the length of the lesion, the presence of further stenois in the legs and critical ischemia compared to the early complications and the primary patency after one, two, and three years. |
