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International Journal of Surgery & Surgical Techniques Research Article 4 min read

Pattern of Chronic Arterial Occlusive Diseases in Bangladesh and its Treatment

Rahman MM*
* Corresponding author
ISSN: 2578-482X  10.23880/ijsst-16000105  Received: March 01, 2017  Published: April 13, 2017
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Keywords
Atherosclerotic Occlusive Diseases Diagnosis Chronic
Abstract

Chronic arterial occlusive diseases are not very much uncommon in Bangladesh and also are south asean population.

Introduction

Chronic arterial occlusive diseases are not very much uncommon in Bangladesh and also are south asean population [1, 2]. Many patients loss their limbs and become burden for his family and society and in the long run the patient succumbs to death [1, 2]. So it is very much important to do accurate and timely diagnosis of the disease and offer appropriate treatment of this disease [3, 4]. There are 3 (three) distinct variety of disease s which cause inhibition of arterial flow in the affected limbs thereby causing necrosis, gangrene and infection causing ever septicemia and death [1, 4]. These three diseases are Atherosclerotic occlusive diseases, Obliterative endarteritis and Thrombo-angitis oblitererans [4, 5, 6]. Although last one is not very common in our country. This was our aim to find out the cause of chronic arterial occlusive diseases and to formulate the type of treatment for the restoration of circulation in the affected limb [7]. For this reason, with the aim is to find out the cause of arterial occlusive disease in this group of patients by following methods:- 1) Ultrasonic duplex study of arterial system [8] 2) Serum lipid profile [9, 10] 3) Selective arteriogram of the affected limb [6, 8] and finally histopathological examination of the dissected segment of arterial lumen. Mainly upon the basis of findings of above mentioned investigations, which included histopathological examination, the treatment options is to be redefined. Because, according to my opinion, there is great difference of operative techniques in the most common type so arterial occlusive diseases seen in Bangladesh [4, 8, 10]. In case of obliterative endarteritis only Endarterectomy have good prognosis [4, 8] while, in case of atherosclerotic occlusive disease angioplasty with stenting or placemat of arterial graft gives better result [10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21]. It is observed that, good long time patency /placement of arterial grafts in atherosclerotic occlusive diseases of male population in more than 50 years of age.

References

  1. Rahman M, Kadirov SI, Ismailova DA (1987) Long term intra-arterial catheter therapy in the treatment of chronic severe ischemia of lower limb. Medical Journal of Uzbekistan 45-48.
  2. Karimov SI, Osipov NG, Rahman M (1988) Femoro- Distal by-pass grafting in patients with gangrene of an extremely. The Journal of cardiovascular surgery 29: 41.
  3. Long term intra-arterial catheter therapy in the complex treatment of chronic severe lower limb ischemia "1988. Thesis for obtaining Ph.D in ex USSR.
  4. Criqui MH, Vargas V, Denenberg JO, Ho E, Allison M, et al. ( 2005) Ethnicity and peripheral arterial disease: the soon Diego population study. Circulation 112: 2703-2707.
  5. Harisson GK, Karin LA, Robertson, Nauclér SC (2006) Inflamation and atherosclerosis. Annu Rev Pathol 1: 297-329.
  6. Hiatt WR, Hoag S, Hamman RF (1995)Effect of diagnostic criteria on the prevalence of peripheral arterial disease: the San Luis Valley Diabetes Study. Circulation 91: 1472-1479.
  7. Hobson RW, Mancel Dekkar (1995) Vascular Surgery: principles and practice, New York, 2004. Circulation 91: 1472.
  8. Meyers MR, Gokce N (2007) Endothelial dysfunction in obesity: etiological role in atherosclerosis. Curr Opin Endocrinal Diabetes obes 14(5): 365-369.
  9. Barter P (2005) the role of HDL-cholesterol in prevent5ing atherosclerotic disease. Euro Heart J suppl 7: 4-8.
  10. Selvin E, Erligen TP (2004) Prevalence of and risk factors for peripheral arterial disease in the limited states: results from the National Health Nutrition Examination Survey, 1999-2000. Circulation 110(6): 738-741.
  11. Dennis FB, Thomas MB, Edward VK, Gary RS, Jonathan BT(1991) Replacement of vascular prostheses infected by bacterial biofilms. J Vase Surg 13(5): 575-583.
  12. Kieffer E, Gomes D, Chiche L, Fléron MH, Koskas F, et al. (2004) Replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vase Surg 39(5): 1009-1017.
  13. Daenens K, Fourneau I, Nevelsteen A (2002) Ten-year experience in autogenous reconstruction with the femoral vein in the treaatment of aortofemoral prosthetic infection. Eur J Vac Surg 25(3): 240-245.
  14. Young RM, Cherry KJ, Davis PM, Gloviczki P, Bower TC, et al. (1999) The results of in situ prosthetic replacement for infected aortic graft. Am J surg 178(2): 136-140.
  15. Vogt PR, Brunner La Rocca HP, Lachat M, Ruef C, Turina MI (2002) Technical details with the use of cryopreserved arterial allografts for aortic infection: influence on early and midterm mortality. J Vac Surg 35(1): 80-86.
  16. Pruitt A, Dodson TF, Najibi S, Thourani V, Sherman A et al. (2002) Distal septic emboli and fatal brachiocephalic arterymycotic pseudoaneurysm as a complication of stenting. J Vase Surg 36(3): 625-658.
  17. Laser A, Baker N, Rectenwald J, Eliason JL, Criado- Pallares E, et al. (2011) Graft infection after endovascular abdominal aortic aneurysm repair. J Vase Surg 54(1): 58-63.
  18. Heyer KS, Modi P, Morasch, Matsumura JS, Kibbe MR, et al. (2009) Secondary infection of thorasic and abdominal aortic endografts. J Vase Interv Radiol 20(2): 173-179.
  19. Alankar S1, Barth MH, Shin DD, Hong JR, Rosenberg WR (2003) Aortoduodenal fistula and asssociated rupture of abdominalaortic aneurysm after endoluminal stent graft repair. J Vase Surg 37(2): 465-468.
  20. Eliason JL, Guzman RJ, Passman MA, Naslund TC (2002) Infected endovascular graft secondary to coil embolization of endoleak; a demonstration of the importance of operative sterility. Ann Vase Surg 16(5): 562-565.
  21. Khaladj , Pichlmaier U, Stachmann A, Peterss S, Reichelt A, et al. (2013) Cryopreserved human allografts/homografts for the management of graft infections in the ascending aortic position extending to the arch. Eur J Cardiothorac Surg 43(6): 1170- 1175.
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@article{rahman2017,
  title   = {Pattern of Chronic Arterial Occlusive Diseases in Bangladesh and its Treatment},
  author  = {Rahman MM},
  journal = {International Journal of Surgery & Surgical Techniques},
  year    = {2017},
  volume  = {1},
  number  = {1},
  doi     = {10.23880/ijsst-16000105}
}
Rahman MM (2017). Pattern of Chronic Arterial Occlusive Diseases in Bangladesh and its Treatment. International Journal of Surgery & Surgical Techniques, 1(1). https://doi.org/10.23880/ijsst-16000105
TY  - JOUR
TI  - Pattern of Chronic Arterial Occlusive Diseases in Bangladesh and its Treatment
AU  - Rahman MM
JO  - International Journal of Surgery & Surgical Techniques
PY  - 2017
VL  - 1
IS  - 1
DO  - 10.23880/ijsst-16000105
ER  -