Association between Mortality and Topography of Peripheral Arterial Disease due to Atherosclerosis Obliterans

Authors: Carménate AL , Zamora JLC* , Figueroa AA and Gómez ML

DOI: 10.23880/oajc-16000214

Volume 9, Issue 1

Abstract

Introduction: Peripheral arterial disease provides evidence of the relationship between this pathology and other types of cardiovascular and cerebrovascular complications, currently showing high mortality rates. Objective: Estimate the relationshipbetween the topography of peripheral arterial disease and mortality. Method: An observational, descriptive, retrospective study was carried out with all the medical records of patients hospitalized with a diagnosis of peripheral arterial disease due to obliterative atherosclerosis of the aortoiliac and femoropopliteal sectors in the arteriology service of INACV, during the years 2018 and 2019 and a sample of 220 patients was selected. Results: An overall mortality of 9.5% was found, with 13.5% of deaths from the aortoiliac sector and 6.9% from the femoropopliteal. In the aortoiliac sector, deaths were associated with female sex and ischemic heart disease, while in the femoropopliteal it was associated with smoking. The main cause of death for the aortoiliac sector was hydroelectrolytic imbalance and for the femoropopliteal bronchopneumonia. Finally, no association was found between the occlusive pattern and the time at which death occurred, but the longer the disease duration, the more likely the amputation was to occur prior to death. Conclusions: The aortoiliac sector is approximately twice as likely to cause death as the femoropopliteal sector, which seems to be influenced by smoking as an associated factor.

Keywords: Peripheral Arterial Disease; Occlusive Pattern; Mortality

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