Differential impact of bypass surgery and angioplasty on angiosome-targeted infrapopliteal revascularization

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
K SpillerovaM Venermo

Abstract

The aim of this study was to evaluate the impact of angiosome targeted revascularization according to the revascularization method. Retrospective observational study. This study cohort comprised 744 consecutive patients who underwent infrapopliteal endovascular or surgical revascularization between January 2010 and July 2013. Differences in outcomes after bypass surgery and PTA were adjusted by estimating a propensity score, which was employed for one to one matching as well as adjusted analysis. Cox proportional hazards analysis showed that angiosome-targeted revascularization (HR 1.29, 95% CI 1.02-1.65), bypass surgery (HR 1.79, 95% CI 1.41-2.27), C-reactive protein ≤10 mg/dL (HR 1.42, 95% CI 1.11-1.81), and the number of affected angiosomes (HR 0.85, 95% CI 0.74-0.98) were independent predictors of improved wound healing. When adjusted for the number of affected angiosomes and C-reactive protein ≤10 mg/dL, angiosome-targeted bypass surgery was associated with a significantly higher rate of wound healing than non-angiosome-targeted angioplasty (HR 2.27, 95% CI 1.61-3.20). This was confirmed in propensity score adjusted analysis (HR 1.72, 95% CI 1.35-2.16). Among patients who underwent angiosome-targeted revascularization, the...Continue Reading

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Citations

Sep 7, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F GentileR Hultgren
Nov 12, 2016·Journal of Vascular Surgery·Ulrich RotherSusanne Regus
Jun 9, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·P BjörkmanM Venermo
Nov 12, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Xiao-Li SongJun-Gong Zhao
Aug 14, 2019·Vascular and Endovascular Surgery·Constantine N AntonopoulosGeorge Geroulakos
Sep 12, 2020·The International Journal of Lower Extremity Wounds·Roberto FerraresiRobert G Frykberg
Jul 1, 2020·Annals of Vascular Diseases·Juno Deguchi
Oct 17, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Taira KobayashiShinya Takahashi
May 28, 2021·Journal of Atherosclerosis and Thrombosis·Akio KodamaUNKNOWN SPINACH investigators.
Sep 2, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Taira KobayashiShinya Takahashi

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