Surgical treatment of chronic critical leg ischaemia. A five-year follow-up of survival, mobility, and treatment level

The European Journal of Surgery = Acta Chirurgica
M Luther

Abstract

To evaluate mobility and care level required after amputation and arterial reconstruction for chronic critical leg ischaemia. A 5 year follow up study in three hospitals serving a defined population. One regional and two district hospitals, Finland. 117 Consecutive patients. Survival, amputations, mobility, and care level required. 66 Primary reconstructions, 51 primary and 35 later major amputations were done. Preoperatively 27 (53%) of the patients who underwent a primary amputation were in permanent institutional care. Of 86 patients who were living outside an institution, 62 (72%) had a reconstruction. One and five year mortality were 43% and 84% after amputation, and 20% and 57% after reconstruction, respectively. Of the patients who had had an amputation 10% were able to walk and 25% could manage to live outside an institution. Mobility and treatment level after primary and secondary amputations were similar. Forty seven (71%) of the patients who had had a reconstruction did not have an amputation. All patients whose reconstructions were successful preserved their walking ability and independent living. To maintain mobility and an independent living in patients with chronic critical leg ischaemia it is necessary to do a r...Continue Reading

Citations

Jan 20, 2005·Surgical and Radiologic Anatomy : SRA·Serguei MalikovPierre Champsaur
Mar 9, 2002·Plastic and Reconstructive Surgery·Steven L MoranJoseph M Serletti
Jan 30, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Dean H MeshkinKenneth L Fan
May 28, 2021·Journal of Atherosclerosis and Thrombosis·Akio KodamaUNKNOWN SPINACH investigators.
Feb 7, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K E Rollins, P A Coughlin

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