THE REPORT OF CLINICAL OUTCOMES OF 270 BUERGER'S PATIENTS DURING THE LAST TWENTY YEARS IN ALL CLINICAL CENTER OF SHAHID BEHESHTI MEDICAL UNIVERSITY

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MOZAFAR M.; SOBHIYEH M.R.; GHOLYZADEH B.; KASIROLVALAD A.; SEDAGHAT S.

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Journal: Iranian Journal of Surgery Year:2013 | Volume:21 | Issue:2 Page(s): 61-67

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Title

THE REPORT OF CLINICAL OUTCOMES OF 270 BUERGER'S PATIENTS DURING THE LAST TWENTY YEARS IN ALL CLINICAL CENTER OF SHAHID BEHESHTI MEDICAL UNIVERSITY

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BUERGER'S DISEASEQ3

SYMPATHECTOMYQ2

AMPUTATIONQ2

Abstract

Introduction & Objective: BUERGER'S DISEASE is a chronic inflammatory disease. It is strongly associated with smoking cigarets. Mostly young men (below 40-45 years old) are affected. Based on clinical experience, Iran has a high incidence of BUERGER'S DISEASE. The aim of this study was to evaluate the clinical manifestations, the clinical course and therapeutic measures taken for these patients.Materials & Methods: In this retrospective study, we evaluated 3125 patients with peripheral arterial disease referred to Shohada Tsajrish Hospital during the last 20 years. The data of these patients were gathered through a direct questioning of the patients.Results: This study included 270 patients with BUERGER'S DISEASE. The mean age of the patients was 42 years (26-75 years). The mean duration of smoking was 21±0.2 years. The most common clinical manifestations on admission included coldness of extremity (92.2%) color change of extremity (86.2%), necrotic ulcer (63.7%), rest pain (45.5%), intermittent claudication (44.07%) and gangrene (36.2%). Surgical measurements included vascular reconstruction by using saphenous vein (11.8%), SYMPATHECTOMY (77.03%), and AMPUTATION (75.9%).Conclusions: Due to the nature of BUERGER'S DISEASE that is an inflammatory, segmental and nonatherosclerotic disease and often affects the distal extremity, the vascular reconstruction is rarely possible.Therefore, most of these patients have to undergo SYMPATHECTOMY and AMPUTATION.

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APA: Copy

MOZAFAR, M., SOBHIYEH, M.R., GHOLYZADEH, B., KASIROLVALAD, A., & SEDAGHAT, S.. (2013). THE REPORT OF CLINICAL OUTCOMES OF 270 BUERGER'S PATIENTS DURING THE LAST TWENTY YEARS IN ALL CLINICAL CENTER OF SHAHID BEHESHTI MEDICAL UNIVERSITY. IRANIAN JOURNAL OF SURGERY, 21(2), 61-67. SID. https://sid.ir/paper/112992/en

Vancouver: Copy

MOZAFAR M., SOBHIYEH M.R., GHOLYZADEH B., KASIROLVALAD A., SEDAGHAT S.. THE REPORT OF CLINICAL OUTCOMES OF 270 BUERGER'S PATIENTS DURING THE LAST TWENTY YEARS IN ALL CLINICAL CENTER OF SHAHID BEHESHTI MEDICAL UNIVERSITY. IRANIAN JOURNAL OF SURGERY[Internet]. 2013;21(2):61-67. Available from: https://sid.ir/paper/112992/en

IEEE: Copy

M. MOZAFAR, M.R. SOBHIYEH, B. GHOLYZADEH, A. KASIROLVALAD, and S. SEDAGHAT, “THE REPORT OF CLINICAL OUTCOMES OF 270 BUERGER'S PATIENTS DURING THE LAST TWENTY YEARS IN ALL CLINICAL CENTER OF SHAHID BEHESHTI MEDICAL UNIVERSITY,” IRANIAN JOURNAL OF SURGERY, vol. 21, no. 2, pp. 61–67, 2013, [Online]. Available: https://sid.ir/paper/112992/en

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