Opções terapêuticas para o tratamento cirúrgico da doença oclusiva aorto-ilíaca: uma revisão de literatura

• Autor(a) principal: Souza-Filho, Cássio Timótheo de
• Data de Publicação: 2022
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/4157
• topic: doença obstrutiva aorto-ilíaca; oclusão crônica aorto-ilíaca; disfunção erétil; cirurgia; síndrome de Leriche; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Aortoiliac occlusive disease (AIOD) is defined as chronic obstruction of the aorta and iliac arterieswith symptomatic manifestations of erectile dysfunction (ED), claudication of the buttocks or lower limbs and absence or decrease in femoral, popliteal, posterior tibial and pious. It is classified as the main physical cause of ED before and aftersenility, consisting of a problem directly linked to mental and sexual health. Since the description of the disease by Leriche and Morel in 1948, some surgical procedures have already been evaluatedand approved as therapeutic options, however, with the evolution of medicine, the number of efficient techniques for treatment has increased. Currently, the aortobifemoral bypass technique is considered the gold standard in the correction of AIOD. However, its morbidity and mortality rates set precedents for the use of other procedures. Examples of the methodologies that can be used are the other bypass techniques, penile prosthesis,and revascularizations: Kissing Stent (KS) and Covered Endovascular Reconstruction ofAortic Bifurcation (CERAB). Thus, the study aims to analyze the surgeries used in the treatment inpatients affected by AIOD, tounderstand the criteria used to choose the procedure. It is, therefore, an integrative literature review, in which the articles available in the SciELO, PubMed, and MEDLINE databases were analyzed according to the inclusion and exclusion criteria described. In the investigated articles, the treatment capacity of the aforementioned surgical techniques is noticeable and the evidence that the penile prosthesis is not suitable for patients with occlusion, since it improves only in the sexual factor, which can be harmful to the patient. Furthermore, endovascular therapieshave a better long-term result, with reduced morbidity andmortality in patients. In addition, theCERAB technique has geometric superiority over the others, ensuring greater physiological blood flow. Thus, it is concluded that there are several options for safe and effective surgeries to treat AIOD, with CERAB being the most anatomical and physiological methodology.