Complicaciones vasculares en tratamiento de amputación vs revascularización en pacientes en diálisis

Abstract

Vascular complications constitute the leading cause of morbidity and mortality in dialysis patients. Among these complications, peripheral arterial disease (PAD) holds a prominent place, bearing significant consequences for lifestyle. Two main approaches are employed in clinical practice: amputation and revascularization. To establish the major vascular complications in the treatment of amputation vs. revascularization in dialysis patients. A narrative bibliographic review was conducted, encompassing relevant medical and scientific sources through thorough searches in biomedical databases such as PubMed, Scopus, and Web of Science. Results were presented succinctly and clearly using tables. Additionally, a critical discussion of findings was undertaken in the context of existing literature. Findings highlighted the significance of advanced peripheral arterial disease and diabetes mellitus as substantial risk factors in the onset of vascular complications. Revascularization demonstrated higher success rates compared to amputation, leading to greater limb preservation and improved quality of life. Nevertheless, amputation was associated with heightened incidence of infections and perioperative complications. This review underscores the importance of thorough risk factor assessment and deliberate treatment selection in dialysis patients. Revascularization emerges as the preferred option in terms of outcomes and quality of life.