ABSTRACT
La isquemia crónica amenazante de miembros inferiores (iCami) es una de las principales causas de morbilidad yde mortalidad a nivel mundial y se encuentra en aumento por la creciente prevalencia de la diabetes mellitus. enlas dos últimas décadas se ha demostrado la factibilidad y la seguridad de revascularizar el arco plantar (aP) y laimportancia de un aP intacto para la cicatrización de las heridas.Reportamos dos casos de pacientes con iCami que requirieron de revascularización endovascular del aP paraobtener la cicatrización de las heridas y evitar amputaciones mayores.(AU)
Chronic limb threatening ischemia (CLti) is a major cause of morbidity and mortality worldwide, and it is on the risedue to the increasing prevalence of diabetes mellitus (dm). in the last two decades, the feasibility and safety of revas-cularization of the plantar arch (Pa) and the importance of an intact Pa for wound healing have been demonstrated.We report two cases of patients with CLti who required endovascular revascularization of the Pa to obtain woundhealing and avoid major amputations.(AU)
Subject(s)
Humans , Male , Female , Aged , Cardiovascular Surgical Procedures , Talipes Cavus , Lower Extremity , Ischemia , Angioplasty/methods , Lymphatic System , Cardiovascular System , Inpatients , Physical Examination , Symptom Assessment , Foot/diagnostic imaging , Foot/physiology , AngiographyABSTRACT
Introduction: infrarenal aortic occlusion is defi ned as chronic total occlusion (CTo) of the aorta with or without involvement of the iliac arteries. It is classifi ed as a TaSC II (Transatlantic Inter-Society Consensus) type d lesion represents 3 to 8.5 % of aortoiliac occlusive diseases and can lead to ischemic symptoms in lower limbs. Case report: we report a case of a patient with a CTo of the proximal infrarenal aorta (juxtarenal) occlusion of iliac arteries and high surgical risk, who was treated endovascularly. Discussion: surgical revascularisation has been the treatment of choice for patients with this disease. although the results of endovascular treatment are favourable for aortoiliac lesions, endovascular treatment for complex lesions, especially CTo, remains challenging.(AU)
Introducción: la oclusión aórtica infrarrenal se define como una oclusión total crónica (OTC) de la aorta con o sin compromiso de las arterias ilíacas. Está clasificada como una lesión TASC II (TransAtlantic Inter-Society Consensus) de tipo D, representa del 3 al 8,5 % de las enfermedades oclusivas aortoilíacas y puede conducir a síntomas isquémicos en los miembros inferiores. Caso clínico: reportamos el caso de una paciente con OTC de la aorta infrarrenal proximal (yuxtarrenal) con oclusión de las arterias ilíacas y alto riesgo quirúrgico que fue tratada completamente por vía endovascular. Discusión: la revascularización quirúrgica ha sido el tratamiento de elección para los pacientes con esta enfermedad. Aunque los resultados del tratamiento endovascular son favorables para las lesiones aortoilíacas, el tratamiento endovascular de lesiones complejas, especialmente la OTC aórtica, sigue siendo muy desafiante.(AU)
Subject(s)
Humans , Female , Middle Aged , Symptom Assessment , Treatment Outcome , Inpatients , Physical Examination , Coronary Occlusion/surgery , Vascular Diseases , Coronary Occlusion/diagnostic imaging , Endovascular Procedures , Cardiovascular System , Lymphatic Vessels/anatomy & histology , Blood Vessels/anatomy & histology , Lymphatic SystemABSTRACT
INTRODUCTION: Latin America has dramatically increased the number of articles Publisher from 1995 to 2002, but the individual contribution of each country appears to be very unequal. OBJECTIVES: To analyze the production of articles on Cardiology research published in Latin American countries in the past years in international journals. METHODS: A bibliography search was carried out throughout PubMed in regards to biomedical articles in general and on Cardiology in particular, corresponding to the period 1987-2006. RESULTS: A total of 106,871 biomedical articles was identified, and 11,416 on Cardiology published between 1997 and 2006 by Latin American countries. This corresponds to 10.6% of articles on cardiovascular disease over the total. Brazil, Mexico and Argentina contributed with 80% of the publications in Latin America in the same period. The magnitude of growth since 1987 was between 5.9- and 15-fold for these countries. In regards to Brazil, since 1998 a significant increased number of publications was noted compared to Mexico and Argentina (P=0.0001). The impact factor of the journals where each country published during 2006 showed that it was in average higher in the publications from Chile and Argentina compared to Brazil and Mexico (P<0.001). CONCLUSIONS: The scientific production in Cardiology from Latin America shows dramatic differences among the countries, and Brazil, Mexico, and Argentina alone provide 80% of the publications. Brazil seems to have led the region for 20 years, especially since 1998. From the quality of the articles point of view, considering the impact factor, Chile and Argentina appear to be better positioned.
Subject(s)
Abstracting and Indexing/statistics & numerical data , Cardiology , MEDLINE , Periodicals as Topic/statistics & numerical data , Publishing/statistics & numerical data , Latin AmericaABSTRACT
Introduction: Latin America has dramatically increased the number of articles published from 1995 to 2002, but the individual contribution of each country appears to be very unequal. Objectives: To analyze the production of articles on Cardiology research published in Latin American countries in the past years in international journals. Methods: A bibliography search was carried out throughout PubMed in regards to biomedical articles in general and on Cardiology in particular, corresponding to the period 1987 - 2006. Results: A total of 106 871 biomedical articles was identified, and 11 416 on Cardiology published between 1997 and 2006 by Latin American countries. This corresponds to 10.6% of articles on cardiovascular disease over the total. Brazil, Mexico and Argentina contributed with 80% of the publications in Latin America in the same period. The magnitude of growth since 1987 was between 5.9- and 15-fold for these countries. In regards to Brazil, since 1998 a significant increased number of publications was noted compared to Mexico and Argentina (P = 0.0001). The impact factor of the journals where each country published during 2006 showed that it was in average higher in the publications from Chile and Argentina compared to Brazil and Mexico (P <0.001). Conclusions: The scientific production in Cardiology from Latin America shows dramatic differences among the countries, and Brazil, Mexico, and Argentina alone provide 80% of the publications. Brazil seems to have led the region for 20 years, especially since 1998. From the quality of the articles point of view, considering the impact factor, Chile and Argentina appear to be better positioned.
Introducción: La estimación de la producción científica en enfermedades cardiovasculares indica que América Latina incrementó el número de artículos publicados desde 1995 hasta 2002, pero la contribución individual de cada país parece ser desigual. Objetivo: Analizar la producción de artículos de investigación cardiológica publicados por los países latinoamericanos en revistas internacionales. Métodos: Se realizó una búsqueda bibliográfica en PubMed de artículos biomédicos y cardiológicos. Correspondientes al periodo de 1987 a 2006. Resultados: Se identificaron 106 871 artículos biomédicos y 11 416 cardiológicos (10.6%) publicados entre 1997 y 2006 por países latinoamericanos. En orden de importancia, Brasil, México y Argentina contribuyeron con 80% de las publicaciones. La magnitud del crecimiento de los artículos cardiológicos desde 1987 estuvo entre 5.9 y 15 veces para estos tres países. En Brasil se observó a partir de 1998, un aumento significativo del número de publicaciones con respecto a México y Argentina (P = 0.0001). El factor de impacto de las revistas en que publicaron sus artículos cardiológicos cada país durante 2006 mostró que éste fue en promedio superior en las publicaciones de Chile y Argentina con respecto a Brasil y México (P <0.001). Conclusiones: La producción científica cardiológica de América Latina tiene marcadas diferencias entre los países, y solamente Brasil, México y Argentina aportan 80% de lo publicado. Brasil lidera la región desde hace 20 años; en cuanto al factor de impacto, Chile y Argentina parecen estar mejor posicionados. Esta información serviría para conocer la situación individual de cada país y para establecer políticas de promoción científica.
