Outcomes of open and endovascular lower extremity revascularization in active smokers with advanced peripheral arterial disease

Journal of Vascular Surgery
Samuel L ChenRoy M Fujitani

Abstract

Concern over perioperative and long-term durability of lower extremity revascularizations among active smokers is a frequent deterrent for vascular surgeons to perform elective lower extremity revascularization. In this study, we examined perioperative outcomes of lower extremity endovascular (LEE) revascularization and open lower extremity bypass (LEB) in active smokers with intermittent claudication (IC) and critical limb ischemia (CLI). Active smokers undergoing LEE or LEB from 2011 to 2014 were identified in the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) targeted vascular data set. Patient demographics, comorbidities, anatomic features, and perioperative outcomes were compared between LEE and LEB procedures. Subgroup analysis was performed for patients undergoing revascularization for IC and CLI independently. From 2011 to 2014, 4706 lower extremity revascularizations were performed in active smokers (37% of all revascularizations). In this group, 1497 were LEE (55.6% for CLI, 13.4% for below-knee pathology) and 3209 were LEB (68.9% CLI, 34.7% below-knee). Patients undergoing LEE had higher rates of female gender, hypertension, end-stage renal disease, and diabetes (all P ≤ .02)...Continue Reading

Citations

Feb 7, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Young ErbenBauer E Sumpio
Jan 31, 2019·Revista latino-americana de enfermagem·Cristiane Baldessar MendezCarlos Mauricio Lopes Mendez
Nov 23, 2019·Annals of Vascular Surgery·Cynthia TsayCassius Iyad Ochoa Chaar
May 10, 2019·Journal of Vascular Surgery·Courtenay M HolscherCaitlin W Hicks

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