The ArtAssist Device in chronic lower limb ischemia. A pilot study.
Int Angiol
; 21(1): 28-35, 2002 Mar.
Article
en En
| MEDLINE
| ID: mdl-11941271
ABSTRACT
BACKGROUND:
Patients with chronic critical limb ischemia following a failed bypass graft or with non-reconstructable distal disease diagnosed angiographically, have a very poor prognosis. This is a prospective pilot study to assess the influence of the ArtAssist Device on pedal blood flow and amputation rate.METHODS:
Thirty-three legs in 25 patients were evaluated. Ten legs presented with rest pain, and 23 legs with tissue loss. Nine legs had previously undergone bypass surgery.RESULTS:
At a mean follow-up of 3 months, 14 (42%) legs were amputated, and 19 (58%) were saved. Eleven of the amputated legs were in patients with chronic renal failure, a known risk factor. The amputation rate, excluding this group, was 13.6% (3/22). Toe pressures measured initially and after 3 months on the pump showed a significant improvement (p=0.03). Forty percent of patients presenting with rest pain improved, while 26% of foot ulcers healed on the pump. Mortality rate was 12%.CONCLUSIONS:
The results from this prospective study are encouraging but need to be validated in a larger prospective randomized study.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Isquemia
/
Pierna
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Int Angiol
Año:
2002
Tipo del documento:
Article
País de afiliación:
Canadá