PMID: 9525004Apr 3, 1998Paper

Limb salvage and survival rates among elderly patients with advanced limb ischemia

Surgery Today
T OhtaY Nagata

Abstract

The purpose of this study was to clarify the incidence of limb salvage and patient survival rates among elderly patients with advanced leg ischemia. We reviewed the records of 159 patients treated for advanced ischemia over a 15-year period at Aichi Medical University, 74 of whom were aged over 75 years and 85, between 65 and 74 years. There was a collective total of 186 limbs; 82 in the older group and 104 in the younger group. The older group had a greater proportion of women, and a higher incidence of coronary heart disease, pulmonary dysfunction, and acute onset of advanced ischemia than the younger group. Limb salvage was achieved in 73% of the affected limbs in the older group and in 92% of the limbs in the younger group. The poor limb salvage rate in the older group was mainly related to the high initial amputation rate. Early recognition of the sentinel ischemic signs before the ischemia is essential, especially in the elderly. Timely revascularization should be attempted whenever possible, and it should not be abandoned simply because the patient is deemed too old. The 1-, 3-, and 5-year survival rates in the older group were 59%, 28%, and 23%, respectively, which were markedly poorer than the expected survival rates o...Continue Reading

Citations

May 28, 2011·Arteriosclerosis, Thrombosis, and Vascular Biology·James E FaberStephen E Epstein
May 31, 2011·Annals of Vascular Surgery·Federico TosatoDomenico Milite
May 31, 2011·Journal of Vascular Surgery·Salvatore T ScaliRichard J Powell
Jun 15, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·W R HuaJ Xing
Nov 26, 2008·Journal of Vascular Surgery·Tormod S WestvikAlan Dardik

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