ALTERNATIVE TREATMENT WHEN IMPOSSIBILITY OF ILIAC-FEMORAL REVASCULARIZATION BY ATHEROSCLEROSIS PLAQUE

Michelle R. Tacconi, Gabriel Augusto Bighetti Rosa, Renan de Paula Silveira Re, *Wanessa Silva Garcia Medina, Luiz Claudio Fontes Mega

ABSTRACT

Peripheral obstructive arterial disease (PAOD) is characterized by an obstruction of the peripheral artery usually caused by atheromatous plaques adhered to the intima of arterial vessels, may be silent or present with a variety of symptoms and signs indicative of extremity ischemia. Faced with a case with impossibility of revascularization, the pharmacological use of synthetic prostaglandin, a PGE1 prostaglandin, capable of improving blood flow through direct vasodilation, antiplatelet and also having anti-inflammatory effects, was proposed. We report the case of a 70-year-old woman, diabetic, hypertensive, who presented extreme pain, intermittent claudication for 50 meters, non-fixed cyanosis in the plantar region, without trophic lesions. The possibility of revascularization was ruled out and treatment was started with anticoagulants, synthetic prostaglandin derivatives (prostavasin) and limb heating. The patient had a good evolution with alternative therapies to revascularization, thus avoiding possible amputations.

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