Outcome of unreconstructed chronic critical leg ischaemia
To assess the outcome of unreconstructed chronic critical leg ischaemia with a special reference to the definition of CLI. A retrospective study with 1 year follow-up in an academic referral centre (Fourth Department of Surgery, Helsinki University Central Hospital). 105 consecutive unreconstructed...
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| Veröffentlicht in: | European journal of vascular and endovascular surgery 1996-02, Vol.11 (2), p.153-157 |
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| container_title | European journal of vascular and endovascular surgery |
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| creator | Lepäntalo, Mauri Mätzke, Sorjo |
| description | To assess the outcome of unreconstructed chronic critical leg ischaemia with a special reference to the definition of CLI.
A retrospective study with 1 year follow-up in an academic referral centre (Fourth Department of Surgery, Helsinki University Central Hospital).
105 consecutive unreconstructed patients with 136 critically ischaemic legs as defined by the European Consensus Document on Chronic Critical Leg Ischaemia.
Major amputations and mortality.
81% of the 136 critically ischaemic legs survived 1 month, 70% three months and 54% one year. Of the 105 patients 93%, 77% and 46% were alive at 1, 3 and 12 months, respectively, whereas survival of patients with nonamputated leg was only 71%, 56% and 28%. Patients with bilateral CLI had a worse prognosis in terms of survival and leg salvage. The leg outcome was not worsened by the presence of diabetes nor by the distal extent of arterial changes.
Although the selection of the present material is likely to cause some bias, unreconstructed CLI seemed to predict a very poor outcome in terms of survival and limb salvage. |
| doi_str_mv | 10.1016/S1078-5884(96)80044-X |
| format | Article |
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A retrospective study with 1 year follow-up in an academic referral centre (Fourth Department of Surgery, Helsinki University Central Hospital).
105 consecutive unreconstructed patients with 136 critically ischaemic legs as defined by the European Consensus Document on Chronic Critical Leg Ischaemia.
Major amputations and mortality.
81% of the 136 critically ischaemic legs survived 1 month, 70% three months and 54% one year. Of the 105 patients 93%, 77% and 46% were alive at 1, 3 and 12 months, respectively, whereas survival of patients with nonamputated leg was only 71%, 56% and 28%. Patients with bilateral CLI had a worse prognosis in terms of survival and leg salvage. The leg outcome was not worsened by the presence of diabetes nor by the distal extent of arterial changes.
Although the selection of the present material is likely to cause some bias, unreconstructed CLI seemed to predict a very poor outcome in terms of survival and limb salvage.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/S1078-5884(96)80044-X</identifier><identifier>PMID: 8616645</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amputation ; Amputation - statistics & numerical data ; Chronic Disease ; Critical Illness ; Critical leg ischaemia ; Diabetic Angiopathies - mortality ; Diabetic Angiopathies - therapy ; Female ; Finland - epidemiology ; Humans ; Ischemia - mortality ; Ischemia - therapy ; Leg - blood supply ; Male ; Middle Aged ; Mortality ; Outcome ; Retrospective Studies ; Risk Factors ; Treatment Outcome</subject><ispartof>European journal of vascular and endovascular surgery, 1996-02, Vol.11 (2), p.153-157</ispartof><rights>1996 W. B. Saunders Company Ltd. All rights reserved</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-e24d698b0ee4f6c06e006a1ae77c2cb3a513914ed11ddf85348c532a831666fc3</citedby><cites>FETCH-LOGICAL-c407t-e24d698b0ee4f6c06e006a1ae77c2cb3a513914ed11ddf85348c532a831666fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S107858849680044X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8616645$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lepäntalo, Mauri</creatorcontrib><creatorcontrib>Mätzke, Sorjo</creatorcontrib><title>Outcome of unreconstructed chronic critical leg ischaemia</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>To assess the outcome of unreconstructed chronic critical leg ischaemia with a special reference to the definition of CLI.
A retrospective study with 1 year follow-up in an academic referral centre (Fourth Department of Surgery, Helsinki University Central Hospital).
105 consecutive unreconstructed patients with 136 critically ischaemic legs as defined by the European Consensus Document on Chronic Critical Leg Ischaemia.
Major amputations and mortality.
81% of the 136 critically ischaemic legs survived 1 month, 70% three months and 54% one year. Of the 105 patients 93%, 77% and 46% were alive at 1, 3 and 12 months, respectively, whereas survival of patients with nonamputated leg was only 71%, 56% and 28%. Patients with bilateral CLI had a worse prognosis in terms of survival and leg salvage. The leg outcome was not worsened by the presence of diabetes nor by the distal extent of arterial changes.
Although the selection of the present material is likely to cause some bias, unreconstructed CLI seemed to predict a very poor outcome in terms of survival and limb salvage.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Amputation - statistics & numerical data</subject><subject>Chronic Disease</subject><subject>Critical Illness</subject><subject>Critical leg ischaemia</subject><subject>Diabetic Angiopathies - mortality</subject><subject>Diabetic Angiopathies - therapy</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Humans</subject><subject>Ischemia - mortality</subject><subject>Ischemia - therapy</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Outcome</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoq67-hIWeRA_VpE3S9CSy-AULe1BhbyE7nbqRtlmTVvDfm_3Qq6cZmHdm3vchZMLoNaNM3rwwWqhUKMUvS3mlKOU8XRyQEybyLM2YFIex_5Uck9MQPiilguViREZKMim5OCHlfOjBtZi4Ohk6j-C60PsBeqwSWHnXWUjA296CaZIG3xMbYGWwteaMHNWmCXi-r2Py9nD_On1KZ_PH5-ndLAVOiz7FjFeyVEuKyGsJVCKl0jCDRQEZLHMTHZWMY8VYVdVK5FxBTGBUHh3KGvIxudjdXXv3OWDodRs9YNOYDt0QdBGjC8WyKBQ7IXgXgsdar71tjf_WjOoNMr1Fpjc8dCn1FplexL3J_sGwbLH629ozivPb3Rxjyi-LXgew2AFWNvLqdeXsPx9-ABfCe2k</recordid><startdate>19960201</startdate><enddate>19960201</enddate><creator>Lepäntalo, Mauri</creator><creator>Mätzke, Sorjo</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960201</creationdate><title>Outcome of unreconstructed chronic critical leg ischaemia</title><author>Lepäntalo, Mauri ; Mätzke, Sorjo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-e24d698b0ee4f6c06e006a1ae77c2cb3a513914ed11ddf85348c532a831666fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Amputation - statistics & numerical data</topic><topic>Chronic Disease</topic><topic>Critical Illness</topic><topic>Critical leg ischaemia</topic><topic>Diabetic Angiopathies - mortality</topic><topic>Diabetic Angiopathies - therapy</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Humans</topic><topic>Ischemia - mortality</topic><topic>Ischemia - therapy</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Outcome</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lepäntalo, Mauri</creatorcontrib><creatorcontrib>Mätzke, Sorjo</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lepäntalo, Mauri</au><au>Mätzke, Sorjo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of unreconstructed chronic critical leg ischaemia</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>1996-02-01</date><risdate>1996</risdate><volume>11</volume><issue>2</issue><spage>153</spage><epage>157</epage><pages>153-157</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>To assess the outcome of unreconstructed chronic critical leg ischaemia with a special reference to the definition of CLI.
A retrospective study with 1 year follow-up in an academic referral centre (Fourth Department of Surgery, Helsinki University Central Hospital).
105 consecutive unreconstructed patients with 136 critically ischaemic legs as defined by the European Consensus Document on Chronic Critical Leg Ischaemia.
Major amputations and mortality.
81% of the 136 critically ischaemic legs survived 1 month, 70% three months and 54% one year. Of the 105 patients 93%, 77% and 46% were alive at 1, 3 and 12 months, respectively, whereas survival of patients with nonamputated leg was only 71%, 56% and 28%. Patients with bilateral CLI had a worse prognosis in terms of survival and leg salvage. The leg outcome was not worsened by the presence of diabetes nor by the distal extent of arterial changes.
Although the selection of the present material is likely to cause some bias, unreconstructed CLI seemed to predict a very poor outcome in terms of survival and limb salvage.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>8616645</pmid><doi>10.1016/S1078-5884(96)80044-X</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1078-5884 |
| ispartof | European journal of vascular and endovascular surgery, 1996-02, Vol.11 (2), p.153-157 |
| issn | 1078-5884 1532-2165 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Aged, 80 and over Amputation Amputation - statistics & numerical data Chronic Disease Critical Illness Critical leg ischaemia Diabetic Angiopathies - mortality Diabetic Angiopathies - therapy Female Finland - epidemiology Humans Ischemia - mortality Ischemia - therapy Leg - blood supply Male Middle Aged Mortality Outcome Retrospective Studies Risk Factors Treatment Outcome |
| title | Outcome of unreconstructed chronic critical leg ischaemia |
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