Ignacio Crespo Moreno

Publications (2)1.91 Total impact

• Article: [Clinical and therapeutic characteristics of limb emboli].

  Angel Plaza Martínez, Johissy Lissethe Briones Estébanez, Carlos Martínez Parreño, Bader Al-Raies Bolaños, Vicente Andrés Sala Almonacil, José Miguel Zaragozá García, Alvaro Torres Blanco, Ignacio Crespo Moreno, Inmaculada Martínez Perelló, José Ignacio Blanes Mompó, Francisco Julián Gómez Palonés, Eduardo Ortiz Monzón
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  ABSTRACT: To treat an extremity embolus seems to be a simple and safe procedure. However, it is not exempt from potentially serious complications. We review our experience of treating acute peripheral arterial occlusion due to emboli. We retrospectively analyzed the data of 127 embolectomies performed during the last five years, in 120 extremities in 116 patients. The mean age of the patients was 80 years and 66% were female. All cases were presented as acute threatened limb ischemia grades IIA or IIB, and the mean evolution time was 27 hours. The patency, limb salvage and morbidity-mortality rates in the postoperative period and the salvage and survival rates in the follow-up were analyzed. Of the embolectomies, 55% were femoral and 30% brachial. Although 90% of the cases improved, only 75% of them recovered distal pulses. In the postoperative period the patency, limb salvage, morbidity and mortality rates were 90%, 96%, 13% and 6.4%, respectively. The mean follow-up was 24 months. Up until this time, the patency and survival rates are 91% and 61%, respectively. The only factor related with an increase in the amputation rate was a clinical presentation, such as a threatened immediate ischemia. The factors related with an increase in survival rate were appropriate cardiological treatment and control, and long-term anticoagulation treatment. Suffering an embolus of the extremities and its treatment causes considerable morbidity-mortality and limb amputation rates. The extremity salvage is associated with the clinical presentation at the time of the treatment. Long-term anticoagulation treatment and appropriate cardiological control increase the survival of these patients.
  Cirugía Española 02/2008; 83(1):33-7. · 0.87 Impact Factor
• Article: Comparative analysis of renal function after treatment of infrarenal abdominal aortic aneurysms with a suprarenal fixation device as opposed to open surgery.

  José Miguel Zaragozá García, Eduardo Ortiz Monzón, Angel Plaza Martínez, Francisco Julián Gómez Palonés, José Ignacio Blanes Mompó, Johissy Lissethe Briones Estébanez, Carlos Martínez Parreño, Bader Al-Raies Bolaños, Vicente Sala Almonacil, Alvaro Torres Blanco, Ignacio Crespo Moreno, Inmaculada Martínez Perelló
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  ABSTRACT: We analyzed the repercussions on renal function between suprarenal endograft fixation and open surgery in the treatment of infrarenal abdominal aortic aneurysms (IAAAs) and determined the influential factors. Between 1999 and 2005, 59 IAAAs were treated with elective OS and 56 with SEF. The serum creatinine (Cr) level and its clearance were determined before the procedure, in the intensive care unit (ICU), on discharge, and after 1, 6, 12, and 24 months. A deterioration in renal function was considered to be a >30% increase in Cr or a Cr >2 mg/dL. A univariate statistical analysis and a logistical regression analysis were carried out to determine the predictive factors for repercussions on renal function. There were no statistically significant differences in the rate of renal exacerbation between the groups either on discharge (p = 0.52) or after 1 month (p = 0.483), 6 months (p = 0.451), 12 months (p = 0.457), and 24 months (p = 0.682). The only significant difference was that detected in the ICU (p = 0.033). Diabetes mellitus, time spent in the ICU, postoperative intubation time, intraoperative transfusion, and transfusion in the ICU were factors that influenced the deterioration of renal function in the univariate analysis. The only significant factor in the multivariate analysis was the need for transfusion in the ICU. Exacerbation of renal function occurred in both groups independently of treatment type. In the immediate postoperative period, hemodynamic deterioration is more frequent in the open surgery group. Renal exacerbation tended to disappear in both groups during follow-up.
  Annals of Vascular Surgery 22(4):513-9. · 1.03 Impact Factor