Peripheral Interventions in Patients with Pseudoxanthoma Elasticum (PXE)

نویسندگان

چکیده

Pseudoxanthoma elasticum (PXE) is an autosomal recessive metabolic disorder that may be associated with a high prevalence of peripheral artery disease (PAD) and related symptoms. However, the evidence supporting this association weak, as only small cohort studies are available. Furthermore, limited data available on outcome lower limb arterial interventions (PAI) in patients PXE. It was aim study to clarify PAD, occurrence PAI This retrospective review prospectively collected from Dutch Expertise Centre for PXE database. Clinical consecutive definitive diagnosis were examined. The primary endpoint PAD (defined ankle brachial index < 0.9). secondary report overview target lesion revascularisations. In 285 (median age 58 years), 50.9% (n = 145) met criteria PAD. Seventeen underwent PAI, mostly intermittent claudication, at median 51 years. incidence 2.25 per 1 000 patient years A total recorded, which 35 revascularisations nine patients. Twenty one performed within year following intervention, 16 cases due acute occlusion. Within well phenotyped large cohort, prevalent two observed rate low, while re-intervention unfavourable after endovascular or bypass surgical procedures, over half these re-interventions indicated year.

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2023

ISSN: ['1085-875X', '0741-5214', '1097-6809']

DOI: https://doi.org/10.1016/j.jvs.2022.12.007