Long-Term Results of Treatment for Critical Limb Ischemia
From 2001 to 2012, arterial reconstruction was performed in 306 out of 497 limbs (62%) with critical limb ischemia. The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen...
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| Veröffentlicht in: | Annals of Vascular Diseases 2015, Vol.8(3), pp.192-197 |
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| creator | Miyahara, Takuya Suhara, Masamitsu Nemoto, Yoko Shirasu, Takuro Haga, Makoto Mochizuki, Yasuaki Matsukura, Mitsuru Akai, Takafumi Taniguchi, Ryosuke Nemoto, Masaru Yamamoto, Satoshi Nishiyama, Ayako Hosaka, Akihiro Hoshina, Katsuyuki Okamoto, Hiroyuki Shigematsu, Kunihiro Miyata, Tetsuro Watanabe, Toshiaki |
| description | From 2001 to 2012, arterial reconstruction was performed in 306 out of 497 limbs (62%) with critical limb ischemia. The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen disease were significantly worse compared to arteriosclerosis obliterans. Cumulative limb salvage, amputation free survival (AFS), and major adverse limb event and perioperative death (MALE + POD) in patients with end-stage renal disease (ESRD) were significantly worse compared to patients without ESRD, but not significant with regards to graft patency. Our finding suggests that aggressive arterial reconstruction provides satisfactory long-term results in critical limb ischemia so long as case selection for revascularization is properly made. (This article is a translation of J Jpn Coll Angiol 2014; 54: 5–11.) |
| doi_str_mv | 10.3400/avd.oa.15-00074 |
| format | Article |
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The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen disease were significantly worse compared to arteriosclerosis obliterans. Cumulative limb salvage, amputation free survival (AFS), and major adverse limb event and perioperative death (MALE + POD) in patients with end-stage renal disease (ESRD) were significantly worse compared to patients without ESRD, but not significant with regards to graft patency. Our finding suggests that aggressive arterial reconstruction provides satisfactory long-term results in critical limb ischemia so long as case selection for revascularization is properly made. 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The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen disease were significantly worse compared to arteriosclerosis obliterans. Cumulative limb salvage, amputation free survival (AFS), and major adverse limb event and perioperative death (MALE + POD) in patients with end-stage renal disease (ESRD) were significantly worse compared to patients without ESRD, but not significant with regards to graft patency. Our finding suggests that aggressive arterial reconstruction provides satisfactory long-term results in critical limb ischemia so long as case selection for revascularization is properly made. 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| fulltext | fulltext |
| identifier | ISSN: 1881-641X |
| ispartof | Annals of Vascular Diseases, 2015, Vol.8(3), pp.192-197 |
| issn | 1881-641X 1881-6428 |
| language | eng |
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| source | J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | arterial reconstruction arteriosclerosis obliterans critical limb ischemia Original peripheral arterial disease |
| title | Long-Term Results of Treatment for Critical Limb Ischemia |
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