Long-term limb salvage and survival after endovascular and open revascularization for critical limb ischemia after adoption of endovascular-first approach by vascular surgeons

Journal of Vascular Surgery
Hasan H DosluogluMaciej L Dryjski

Abstract

The adoption of endovascular interventions has been reported to lower amputation rates, but patients who undergo endovascular and open revascularization are not directly comparable. We have adopted an endovascular-first approach but individualize the revascularization technique according to patient characteristics. This study compared characteristics of patients who had endovascular and open procedures and assessed the long-term outcomes. From December 2002 to September 2010, 433 patients underwent infrainguinal revascularization for critical limb ischemia (CLI; Rutherford IV-VI) of 514 limbs (endovascular: 295 patients, 363 limbs; open: 138 patients, 151 limbs). Patency rates, limb salvage (LS), and survival, as also their predictors, were calculated using Kaplan-Meier and multivariate analysis. The endovascular group was older, with more diabetes, renal insufficiency, and tissue loss. More reconstructions were multilevel (72% vs 39%; P < .001) and the most distal level of intervention was infrapopliteal in the open group (64% vs 49%; P = .001). The 30-day mortality was 2.8% in the endovascular and 6.0% in the open group (P = .079). Mean follow-up was 28.4 ± 23.1 months (0-100). In the endovascular vs open groups, 7% needed op...Continue Reading

References

Oct 1, 1995·Annals of Surgery·D M ShahR P Leather
Apr 1, 1995·The British Journal of Surgery·S Raptis, J H Miller
Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
May 25, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M K NasrM Horrocks
Mar 8, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R K FisherP L Harris
Jun 12, 2004·Journal of Vascular Surgery·Patrice L AndersonK Craig Kent
Jun 9, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N HynesS Sultan
Dec 5, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L NorgrenKenneth Rosenfield
Jan 16, 2007·Journal of Vascular Surgery·L NorgrenUNKNOWN TASC II Working Group
Jun 2, 2009·Journal of Vascular Surgery·Philip P GoodneyRobert M Zwolak
Jun 6, 2009·Journal of Vascular Surgery·Mohammad Usman Nasir KhanHasan H Dosluoglu
Aug 1, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sherif Sultan, Niamh Hynes
Feb 10, 2010·Journal of Vascular Surgery·Robert S CrawfordGlenn M LaMuraglia
May 12, 2010·Journal of Vascular Surgery·Jessica P SimonsUNKNOWN Vascular Study Group of Northern New England
Jan 5, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M KorhonenM Venermo
Jan 8, 2011·Journal of Vascular Surgery·Mark F ConradRichard P Cambria
Aug 2, 2011·Journal of Vascular Surgery·Nathan FernandezRabih A Chaer

❮ Previous
Next ❯

Citations

May 28, 2014·Current Problems in Surgery·Mark L FriedellRobert R Carter
Jul 26, 2014·Journal of Vascular and Interventional Radiology : JVIR·Clinton W WrigleyDaniel A Leung
Feb 3, 2016·Journal of Vascular Surgery·Jeffrey J SiracuseUNKNOWN Vascular Quality Initiative
Sep 10, 2013·Annals of Vascular Surgery·Andrew J MeltzerDarren B Schneider
Jan 24, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·E S DebusR T Grundmann
Sep 27, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Masatsugu NakanoKenji Suzuki
Nov 30, 2014·Annals of Vascular Surgery·Francesco SpinelliFrancesco Stilo
Jul 20, 2014·Journal of Vascular Surgery·Bjoern D SuckowUNKNOWN Vascular Study Group of New England
Jun 12, 2016·Journal of Vascular Surgery·Shaun M GiffordThomas C Bower
May 13, 2017·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Dariusz JanczakMariusz Chabowski
Sep 18, 2015·Vascular and Endovascular Surgery·Nedaa SkeikTimothy Sullivan
Sep 24, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Allan M ConwayAlfio Carroccio
Apr 25, 2018·The British Journal of Surgery·K HeikkilaD A Cromwell
Aug 25, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Akio KodamaKimihiro Komori
Feb 26, 2016·Journal of the American Heart Association·Martin TeraaMarianne C Verhaar
Jul 3, 2018·International Angiology : a Journal of the International Union of Angiology·Onur S GokselBayer Çinar
Nov 14, 2020·Journal of the American Heart Association·Frederik PetersChristian-Alexander Behrendt
Feb 16, 2021·Vascular Medicine·Stefanos Giannopoulos, Ehrin J Armstrong
Mar 23, 2021·Annals of Surgical Treatment and Research·Ki-Sang JungYoung-Wook Kim
Apr 1, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Changhwan KimMona Choi
Apr 15, 2021·Annals of the Royal College of Surgeons of England·A StaniszewskaA H Davies

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.