RESUMO
We report 72 non-diabetic patients with obliterant atherosclerosis, stadium II, (intermittent claudication). The medium age of these patients was 62 +/- 4.5 years old. They were randomly included into four groups. Three were treated with Ozone: one of them by endovenous way, other intramuscular way, and the last one by rectal way; meanwhile, in the fourth group the patients were submitted to conventional medical treatment (control group). In the three ozone-groups there weren't differences when they were compared between then. But there was a significant improvement in comparison with the control group. The claudication distance in the treadmill increased to the 2.5 km/hour. Ankle/arm pressure rates hadn't significant differences, this corroborates the ozone action on the microcirculation. The least uncomfortable, the more harmless and the more economic way was the rectal way.
Assuntos
Arteriosclerose Obliterante/tratamento farmacológico , Ozônio/administração & dosagem , Arteriosclerose Obliterante/fisiopatologia , Hemodinâmica/efeitos dos fármacos , Humanos , Claudicação Intermitente/tratamento farmacológico , Claudicação Intermitente/fisiopatologia , Pessoa de Meia-Idade , Indução de RemissãoRESUMO
Fifteen patients with atherosclerosis obliterans at the lower limbs, no candidates to revascularizing surgery were submitted to ozone therapy. An improvement statistically significant was noticed in the treatment groups since amputation ratio decreased (26.7%) and the need of pain's surgery procedures (13.3%) in comparison with the control group (46.7 and 26.7% respectively). Ozone therapy is considered as a good way in the management of the atherosclerosis with obliteration in late period.
Assuntos
Arteriosclerose Obliterante/terapia , Ozônio/administração & dosagem , Idoso , Idoso de 80 Anos ou mais , Arteriosclerose Obliterante/fisiopatologia , Transfusão de Sangue Autóloga/métodos , Terapia Combinada , Feminino , Hemodinâmica/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The present study was designed in order to analyze our experience in surgical treatment of 18 patients with abdominal aortic aneurysm associate to a high surgical risk from 1982 (January-February) to 1988, both included. Selection criteria and surgical technical aspects were established. The patient age ranged from 60 to 82, with an average age of 75 +/- 7.5 years. The most frequently associated pathology was hypertension disease, followed by cerebrovascular disease and ischemic cardiopathy. Two patients died during surgical procedure. Fifteen patients, from the 16 surviving, suffered a complete thrombosis of their aneurysmatic sac one week after the induced thrombosis, by the ligature of afferent arteries of their aneurysm (iliac arteries). Only one patient suffered a second operation, 4 months after the initial procedure (partial exclusion) during which a total exclusion of aneurysm by infrarenal aortic ligature was performed. The successful operatory rate was of 14/15 (93.3%), with a mortality rate of 2/18 (11.1%). References are reviewed and our results commented.
Assuntos
Aorta Abdominal/cirurgia , Aneurisma Aórtico/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Seguimentos , Humanos , Pessoa de Meia-IdadeRESUMO
In order to evaluate the results of the lumbar sympathectomy, we studied 49 patients in the National Institute of Angiology and Vascular Surgery during two years. The hemodynamic tests were performed the day before and one month after the surgical intervention; they included: skin thermometry, measurement of arterial blood flow and resistance in the foot and in the leg, and reactive hyperemia under photoplethysmographic control. Objectively, it could be seen only an increase in the distal skin temperature and an increase of skin blood flow after this treatment.