Prior Endovascular Intervention Is Not Detrimental to Pedal Bypasses for Ischemic Wounds

Annals of Vascular Surgery
Abhisekh MohapatraEric S Hager

Abstract

Endovascular strategies are often preferred for revascularization of ischemic foot wounds secondary to infrapopliteal disease because of the less invasive technique and faster recovery. Bypass is typically reserved for failures or lesions not amenable to balloon angioplasty. However, the effects of an endovascular-first approach on subsequent bypass grafts are largely unknown. This study evaluates the effects of prior endovascular tibial interventions (PTIs) on successive bypasses to pedal targets. Patients who presented with ischemic tissue loss and tibial arterial occlusive disease to University of Pittsburgh Medical Center between 2006 and 2013 and underwent a surgical bypass to pedal arteries were included in this study. A retrospective chart review was conducted to obtain patient demographics, past medical history, extent of disease, prior tibial endovascular interventions, the treatment intervention, subsequent interventions, wound healing status, limb salvage, and patient survival. The primary outcome was primary patency of the pedal bypass graft. From 122 eligible patients, 27 had a PTI, whereas 95 had no prior endovascular tibial intervention (nPTI) in the treatment of ischemic pedal wounds with mean follow-up of 24.5 ...Continue Reading

References

Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
Oct 20, 1998·American Journal of Surgery·W K StadelmannG R Tobin
Jan 25, 2013·Journal of Vascular Surgery·Michael S Conte
Oct 16, 2013·Journal of Vascular Surgery·Joseph L MillsUNKNOWN Society for Vascular Surgery Lower Extremity Guidelines Committee
Mar 31, 2015·Seminars in Vascular Surgery·Zhen S Huang, Darren B Schneider
Sep 24, 2015·Journal of Vascular Surgery·Abd Moain Abu DabrhMohammad Hassan Murad
Feb 26, 2016·Current Cardiology Reports·Ehrin J ArmstrongStephen W Waldo
Jun 12, 2016·Journal of Vascular Surgery·Shaun M GiffordThomas C Bower

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Citations

Apr 20, 2021·International Angiology : a Journal of the International Union of Angiology·Mario Altable GarcíaFrancisco J Gómez Palonés

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