Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1400
10
1
gregorian
2022
1
1
36
1
online
1
fulltext
en
Surgical Treatment Options for Buerger's Disease (Experience with 315 Cases in Iran)
Vascular & Trauma Surgery
Vascular & Trauma Surgery
Original Research
Original Research
<span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><b> </b><b><span style="font-size:9.0pt"><span style="font-style:normal"> Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Buerger's disease (thromboangiitis obliterans) may be a rare peripheral vascular disease that sometimes affects young male smokers. This study presents surgical treatment options for 315 Buerger's patients during a period of 18 years from 2002 to 2020. </span></span></span></span></span></span></span></span><br>
<span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal"> <b>Methods:</b> In this cross-sectional study, 315 newly diagnosed Buerger patients in a period of 18 years (by Census sampling) were evaluated. Data included age, sex, cigarette smoking status, clinical presentation, the affected limb (right or left, upper or lower extremities), and the performed therapeutic procedures such as angiography of limb arteries, amputation, sympathectomy, and vascular bypass surgery, which were collected in a data sheet. Vascular reconstruction was done if there were suitable inflow and outflow arteries. Sympathectomy was performed for the patients who were unsuitable for revascularization. All analyzes were performed using SPSSV.18 software package (SPSS Inc., Chicago, IL). Data are presented as frequency, mean ± variance (SD).</span></span></span></span></span></span></span></span><br>
<span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal"> <b>Results:</b> The mean age of patients was 42.6±9 years old, ranging from (26-75). There were 309 (98.1%) males and 6 (1.9%) females. The most common symptom was ulcer 252 (80%), and the most commonly involved arteries were the dorsal pedis (N=231; 73.4%) and posterior tibialis (N=225; 71.5%). Vascular bypass surgery, sympathectomy, and amputation were performed for patients who met surgical indications. Aortofemoral (N=9) and femoropopliteal (N=24) bypass procedures were done in 2.8% and 7.6% of patients respectively. Of nine patients who underwent aorto-femoral bypass procedure, 6 cases presented with leg claudication, 3 with an ulcer, and 3 with the Raynaud phenomenon. The digital loss rate was 9.6% (N=9) in toes and 1% (N=3) in fingers.</span></span></span></span></span></span></span></span><br>
<span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal"> Conclusion: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">As most of the Buerger patients have multi arterial involvement, bypass surgery or sympathectomy can’t help treat these patients more than cigarette smoking or pharmaceutical therapy.</span></span></span></span></span></span></span></span><br>
<span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"> </span></span></span></span></span></span><br>
Thromboangiitis Obliterans, Sympathectomy, Surgery, Amputation
1016
1019
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-6666-2&slc_lang=en&sid=1
Javad
Salimi
mjsalimi@tums.ac.ir
200319475328460074038
200319475328460074038
No
Department of Vascular Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Roozbeh
Cheraghali
roozbehcheraghali81@gmail.com
200319475328460074039
200319475328460074039
No
Department of Vascular Surgery, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
Zahra
Omrani
zahraomrani81@gmail.com
200319475328460074040
200319475328460074040
No
Department General Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
Pezhman
Farshidmehr
pezhman1516@yahoo.com
200319475328460074041
200319475328460074041
No
Department of Vascular Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Reza
Afghani
drafghani@goums.ac.ir, rezaafghani59@gmail.com
200319475328460074042
200319475328460074042
Yes
Department Thoracic Surgery, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran