Clinical outcomes of infrapopliteal angioplasty in patients with critical limb ischemia.

Korean Circulation Journal
Hyeon Min RyuDonghoon Choi

Abstract

With recent advances in equipment and techniques, infrapopliteal angioplasty has shown results that are comparable to those of surgical bypass in patients with critical limb ischemia (CLI). In this study, we evaluated the efficacy and the feasibility of infrapopliteal angioplasty in patients with CLI. Between March 2002 and May 2008, infrapopliteal angioplasty was performed on 118 limbs of 101 patients (79 males; mean age 66 years) with CLI (Rutherford category 4, 5 or 6). Freedom from reintervention, limb salvage, and overall survival were analyzed. The median follow-up duration was 30 months. Initial technical and clinical success rates were 69.5% and 83.1%, respectively. No major complication requiring surgical intervention developed after angioplasty. Among 82 limbs with initial technical success, the rate of freedom from any reintervention at 2 years was 70.7% and that from limb salvage was 97.6%. Young age and Rutherford category 6 at initial presentation were independent predictors associated with poor 2 year primary patency in these patients with CLI. Overall survival at 1 year was 86.4% and that at 2 years 76.3%. A history of cerebrovascular accident was an independent predictor associated with poor 2 year survival in ...Continue Reading

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Citations

Jan 8, 2014·Journal of Vascular Surgery·Gagan D SinghJohn R Laird
Feb 9, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Masatsugu NakanoYusuke Miyashita
Aug 19, 2014·Journal of Vascular and Interventional Radiology : JVIR·Mahmood K RazaviLarry E Miller
Jul 19, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roberto IezziLorenzo Bonomo
May 11, 2016·Circulation. Cardiovascular Interventions·J A MustaphaLarry E Miller
Mar 26, 2021·Frontiers in Cell and Developmental Biology·Kenon ChuaYih Kai Tan

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Methods Mentioned

BETA
surgical bypass
dissection
amputation
amputations

Software Mentioned

SPSS
Statistical Package for the Social Sciences ( SPSS )

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