scholarly journals Perfusion Analysis of the Foot in Patients With Critical Limb Ischemia Before and After Revascularization and Predictive Value on Amputation-Free Survival (The Delta-Perf Study)

2019 ◽  
Vol 58 (6) ◽  
pp. e620
Author(s):  
Adrien Hertault ◽  
Aurélia Bianchini ◽  
Hovan Chenorhokian ◽  
Antoine Guery ◽  
Louis Pruvot ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Predictive Value ◽  
Limb Ischemia ◽  
Free Survival ◽  
Before And After

scholarly journals Functional prognosis of critical limb ischemia and efficacy of restoration of direct flow below the ankle

Vascular ◽  
2018 ◽  
Vol 27 (1) ◽  
pp. 38-45
Author(s):  
Tadashi Furuyama ◽  
Toshihiro Onohara ◽  
Ryosuke Yoshiga ◽  
Keiji Yoshiya ◽  
Yutaka Matsubara ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Critical Limb Ischemia ◽  
Ulcer Healing ◽  
Therapy Group ◽  
Limb Ischemia ◽  
Direct Flow ◽  
Free Survival ◽  
Ambulatory Status ◽  
Bypass Group ◽  
One Year

Objective Patients with critical limb ischemia have serious systemic comorbidities and are at high risk of impairment of limb function. In this study, we assessed the prognostic factors of limbs after revascularization. Methods In this retrospective single-center cohort study, from April 2008 to December 2012, we treated 154 limbs of 121 patients with critical limb ischemia by the endovascular therapy-first approach based on the patients’ characteristics. The primary end point was amputation-free survival. Secondary end points were patency of a revascularized artery, major adverse limb events, or death. Furthermore, we investigated the ambulatory status one year after revascularization as prognosis of limb function. Results Endovascular therapy was performed in 85 limbs in 65 patients as the initial therapy (endovascular therapy group) and surgical reconstructive procedures (bypass group) were performed in 69 limbs in 56 patients. Early mortality within 30 days was not observed in either group. The primary patency rate was significantly better in the bypass group than in the endovascular therapy group ( p < 0.0001). Furthermore, the secondary patency rate was similar between the two groups ( p = 0.0096). There were no significant differences in amputation-free survival and major adverse limb event between the two groups. Univariate analysis showed that ulcer healing ( p < 0.0001), no hypoalbuminemia ( p = 0.0019), restoration of direct flow below the ankle ( p = 0.0219), no previous cerebrovascular disease ( p = 0.0389), and Rutherford 4 ( p = 0.0469) were predictive factors for preservation of ambulatory status one year after revascularization. In multivariate analysis, ulcer healing ( p < 0.0001) and restoration of direct flow below the ankle ( p = 0.0060) were significant predictors. Conclusions Ulcer healing and restoration of direct flow below the ankle are independently associated with prognosis of limb functions in patients who undergo infrainguinal arterial reconstruction.

scholarly journals High and immeasurable ankle-brachial index as predictor of poor amputation-free survival in critical limb ischemia

2018 ◽  
Vol 67 (6) ◽  
pp. 1864-1871.e3 ◽  
Author(s):  
Marlon I. Spreen ◽  
Hendrik Gremmels ◽  
Martin Teraa ◽  
Ralf W. Sprengers ◽  
Jasper M. Martens ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Ankle Brachial Index ◽  
Limb Ischemia ◽  
Free Survival

scholarly journals Validation of the PIII CLI risk score for the prediction of amputation-free survival in patients undergoing infrainguinal autogenous vein bypass for critical limb ischemia

2009 ◽  
Vol 50 (4) ◽  
pp. 769-775 ◽  
Author(s):  
Andres Schanzer ◽  
Philip P. Goodney ◽  
Youfu Li ◽  
Mohammad Eslami ◽  
Jack Cronenwett ◽  
...  
Keyword(s):  
Risk Score ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Free Survival ◽  
Vein Bypass ◽  
Autogenous Vein

scholarly journals High-quality Outpatient Diabetic Care Improves Amputation-Free Survival After Lower Extremity Revascularization for Critical Limb Ischemia

2013 ◽  
Vol 57 (5) ◽  
pp. 13S-14S
Author(s):  
Benjamin S. Brooke ◽  
David H. Stone ◽  
Brian Nolan ◽  
Randall R. De Martino ◽  
David C. Goodman ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
High Quality ◽  
Free Survival ◽  
Lower Extremity Revascularization ◽  
Diabetic Care

scholarly journals Hemodynamic Assessment Before and After Endovascular Therapy for Critical Limb Ischemia and Association With Clinical Outcomes

2017 ◽  
Vol 10 (23) ◽  
pp. 2451-2457 ◽  
Author(s):  
Grant W. Reed ◽  
Laura Young ◽  
Imad Bagh ◽  
Michael Maier ◽  
Mehdi H. Shishehbor
Keyword(s):  
Clinical Outcomes ◽  
Endovascular Therapy ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Hemodynamic Assessment ◽  
Before And After

scholarly journals Endovascular-first approach is not associated with worse amputation-free survival in appropriately selected patients with critical limb ischemia

2014 ◽  
Vol 59 (2) ◽  
pp. 392-399 ◽  
Author(s):  
Karan Garg ◽  
Patrick A. Kaszubski ◽  
Rameen Moridzadeh ◽  
Caron B. Rockman ◽  
Mark A. Adelman ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Free Survival
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