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Inicio Medicina Clínica (English Edition) Peripheral arterial disease and anaemia
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Vol. 158. Issue 5.
Pages 221-228 (March 2022)
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Vol. 158. Issue 5.
Pages 221-228 (March 2022)
Peripheral arterial disease and anaemia
Anemia en la enfermedad arterial periférica
Carlos Estebana, Inés Hernández-Rodríguezb,
Corresponding author

Corresponding author.
a Servicio de Angiología y Cirugía Vascular, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
b Servicio de Hematología, ICO-Hospital Universitari Germans Trias i Pujol, Institute de Investigación contra la Leucemia Josep Carreras, Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain
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Figures (2)
Tables (3)
Table 1. Main articles reviewed.
Table 2. Clinical categories of chronic lower limb ischemia according to Rutherford.
Table 3. Treatment protocol for preoperative anaemia in vascular surgery (Hospital Universitari Germans Trias i Pujol).
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Iron deficiency anaemia is highly prevalent worldwide. In the surgical patient, anaemia of any cause implies higher morbidity and mortality in the post-operative period. This is especially important in patients with peripheral artery disease, as they have very high rates of anemia due to iron deficiency or other causes. In intermittent claudication, anemia is a predictor of death in the medium term. Patients with critical ischemia have higher prevalence of anaemia and it is an indicator of amputation and death in the medium term. Specific protocols need to be developed for these patients since the natural history of their disease does not allow for the correction of anemia before surgery.

Preoperative anaemia
Peripheral artery disease
Prognostic factors in vascular surgery
Nutritional deficits
Anaemia of inflammation

La anemia por déficit de hierro tiene una alta prevalencia en la población mundial. En el paciente quirúrgico la anemia de cualquier causa implica una mayor morbimortalidad en el postoperatorio. Esto es especialmente importante en el paciente con arteriopatía periférica, ya que tiene unas tasas muy elevadas de anemia por déficit de hierro o por otras causas. En la claudicación intermitente la anemia es factor predictor de muerte a medio plazo. En los pacientes con isquemia crítica en los que la prevalencia es más elevada es indicador de amputación y muerte a medio plazo. Es necesario elaborar protocolos específicos para estos pacientes ya que por la historia natural de su enfermedad no es posible corregir la anemia antes del acto quirúrgico.

Palabras clave:
Anemia preoperatoria
Enfermedad arterial periférica
Factores pronósticos en cirugía vascular
Déficits nutricionales
Anemia inflamatoria


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