Endovascular treatment of diabetic peripheral arterial disease in older and oldest old patients: a retrospective study

2017 ◽  
Vol 30 (2) ◽  
pp. 205-207 ◽  
Author(s):  
Cristina Gatti ◽  
Sara Cecchini ◽  
Paolo Fabbietti ◽  
Fabio Romagnoli ◽  
Stefano Ricci
Keyword(s):  
Retrospective Study ◽  
Peripheral Arterial Disease ◽  
Endovascular Treatment ◽  
Oldest Old ◽  
Arterial Disease ◽  
Old Patients ◽  
Peripheral Arterial

scholarly journals Simultaneous Hybrid Treatment of Multilevel Peripheral Arterial Disease in Patients with Chronic Limb-Threatening Ischemia

2021 ◽  
Vol 10 (13) ◽  
pp. 2865
Author(s):  
Felice Pecoraro ◽  
David Pakeliani ◽  
Salvatore Bruno ◽  
Ettore Dinoto ◽  
Francesca Ferlito ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Endovascular Treatment ◽  
Hybrid Approach ◽  
Common Femoral Artery ◽  
Arterial Disease ◽  
Major Amputation ◽  
Primary Patency ◽  
Secondary Patency ◽  
Peripheral Arterial

Background: Hybrid treatments (HT) aim to reduce conventional open surgery invasiveness and address multilevel peripheral arterial disease (PAD). Herein, the simultaneous HT treatment in patients with chronic limb-threatening ischemia (CLTI) is reported. Methods: Retrospective analysis, for the period from May 2012 to April 2018, of patients presenting multilevel PAD with CLTI addressed with simultaneous HT. The outcomes of these interventions were measured the following metrics: early technical successes (within 30 days following treatment) and late technical successes (30 days or more following treatment) and included mortality, morbidity symptoms recurrence, and amputation. Survival and patencies were estimated. The median follow-up was 43.77 months. Results: In the 45 included patients, the HT consisted of femoral bifurcation patch angioplasty followed by an endovascular treatment in 38 patients (84.4%) and endovascular treatment followed by a surgical bypass in 7 patients (15.6%). Technical success was 100% without perioperative mortality. Eight (17.8%) patients presented early complications without major amputations. During the follow-up, seven (15.6%) deaths occurred and six patients (13.3%) experienced symptoms recurrence, with five of those patients requiring major amputation. An estimated survival time of 5 years, primary patency, and secondary patency was 84.4%, 79.2%, and 83.3% respectively. Conclusions: Hybrid treatments are effective in addressing patients presenting with multilevel PAD and CLTI. The common femoral artery involvement influences strategy selection. Larger studies with longer-term outcomes are required to validate the hybrid approach, indications, and results.

scholarly journals Atrial fibrillation in a cohort of patients with peripheral arterial disease. A retrospective study of a healthcare database in UK

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A.V Vitalis ◽  
A.S Shantsila ◽  
R.T Thayakaran ◽  
K.N Nirantharakumar ◽  
G.Y.L Lip
Keyword(s):  
Atrial Fibrillation ◽  
Retrospective Study ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Limb Loss ◽  
Lipid Lowering ◽  
Health Improvement ◽  
Healthcare Database ◽  
Baseline Characteristics ◽  
Peripheral Arterial

Abstract   Atrial fibrillation in a cohort of patients with peripheral arterial disease. A retrospective study of a healthcare database in UK. Background There is strong evidence that peripheral arterial disease (PAD) is linked with worse outcomes in patients with atrial fibrillation (AF), which has led vascular disease to be included as one of the components of CHA2DS2-VASc score for risk stratification in AF. On the other hand, very limited evidence exists on the prognostic implication of AF in patients with PAD. Purpose The aim of this study is to identify the prevalence of AF in a cohort of PAD patients and demonstrate its association with adverse cardiovascular outcomes, limb loss and mortality. Methods This is a retrospective study of The Health Improvement Network (THIN) database, which contains computerized records from primary care physicians, covering more than 11 million patients from over 600 general practices in the UK. During the studied period from 1995 to 2017, 55540 patients with newly diagnosed PAD have been detected in the database and baseline characteristics, coexisting medical diagnoses (including AF), relevant medication and subsequent outcomes have been recorded using appropriately selected clinical codes (READ codes). A comparison of baseline characteristics was made between patients with PAD and AF and those without AF using descriptive statistics. Multivariate cox regression analysis was then performed and hazard rations for mortality, stroke or transient ischaemic attack (TIA), ischaemic heart disease (IHD), heart failure (HF) and major lower limb amputation at presence of AF were calculated, after adjustment for age, sex, ethnicity, BMI, smoking, Townsend comorbidity index, diabetes, hypertension, kidney function, and medication (lipid- lowering, antiplatelets, anticoagulants). Results From the 55540 patients with new diagnosis of PAD during the study period, 5685 (10.2%) had coexisting AF. Patients with AF were older, had higher prevalence of diabetes, hypertension and renal failure, were more likely to be on anticoagulants, antiplatelets and lipid lowering agents, were more likely to be ex-smokers but less likely to be active smokers. Mean follow up period was 5.1 (SD= 4) years. After adjustment for confounders, AF patients were at higher risk for death (HR: 1.30, 95% CI 1.24- 1.37, p<0.01) for stroke or TIA (HR: 1.46, 95% CI 1.29- 1.65, p<0.01) and for HF (HR: 1.85, 95% CI 1.65- 2.08, p<0.01). There was no significant association between AF and development of IHD (p=0.34) and limb loss (p=0.14) in this cohort. Conclusion AF is a predictor of worse prognosis in patients with PAD. Close monitoring and medical optimization of these patients is warranted. Funding Acknowledgement Type of funding source: None

Prevalence and severity of peripheral arterial disease among patient with heel pressure ulcer: a retrospective study of 42 patients

2017 ◽  
Vol 15 (3) ◽  
pp. 242-246
Author(s):  
Guillaume Tisserand ◽  
Nora Zenati ◽  
Christophe Seinturier ◽  
Sophie Blaise ◽  
Gilles Pernod
Keyword(s):  
Retrospective Study ◽  
Peripheral Arterial Disease ◽  
Pressure Ulcer ◽  
Arterial Disease ◽  
Peripheral Arterial

Loss of Kidney Function after Endovascular Treatment of Peripheral Arterial Disease

2017 ◽  
Vol 40 ◽  
pp. 231-238 ◽  
Author(s):  
Tim A. Sigterman ◽  
Lars J.J. Bolt ◽  
Attila G. Krasznai ◽  
Maarten G. Snoeijs ◽  
Roel Heijboer ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Endovascular Treatment ◽  
Kidney Function ◽  
Arterial Disease ◽  
Peripheral Arterial
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