Volume : VI, Issue : III, March - 2016

Pattern of vascular involvement in patients with critical limb ischemia secondary to TAO

Cecil Thomas, Edwin Stephen, Indrani Sen, Dheepak Selvaraj, Prabhu Premkumar

Abstract :

Introduction: Thromboangiitis obliterans (TAO) is smoking realted vasculopathy. Though traditionally described to be only a medium and small vessel disease, we do see patients with a more proximal pattern of disease in clinical practice. We undertook this study to relook at the site of vascular involvement in patients with critical ischemia secondary to TAO in our population. Materials and methods: We performed a retrospective analysis of inpatient records of all patients over a 6 year period from 2005–2010 for the clinical presentation, interventions performed and outcome in patients diagnosed to have critical ischemia secondary to TAO. Results: There were 1273 admissions for peripheral vascular disease of which TAO formed 11.9%. There was only one female patient in this series. The mean age of our patients at presentation was 37.8 years and the mean age since the start of the disease was 36.0 years (16–50). The mean smoking pack year was 15.39. Based on clinical examination and imaging, 5 (3.29%) patients had aorto–iliac disease, 6 (3.95%) patients had iliofemoral disease, 63 (41.4%) had femoropopliteal disease and 78 (51.3%) had only tibial involvement. Eighty four (55.26%) patients presented with bilateral lower limb involvement. Twenty (28.4%) patients had upper limb involvement. Only 5 (3.29%) patients had recorded superficial thrombophlebitis. Conclusions: The clinical presentation of thromboangitis is not limited to distal disease in Indians. Patients with involvement of the the more proximal segments may respond to revascularisation procedures.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Cecil Thomas, Edwin Stephen, Indrani Sen, Dheepak Selvaraj, Prabhu Premkumar Pattern of vascular involvement in patients with critical limb ischemia secondary to TAO Indian Journal of Applied Research, Vol.6, Issue : 3 March 2016

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