Is atherectomy the best first-line therapy for limb salvage in patients with critical limb ischemia?
Vasc Endovascular Surg
; 43(6): 542-50, 2009 Dec.
Article
en En
| MEDLINE
| ID: mdl-19640919
ABSTRACT
OBJECTIVE:
To determine the efficacy of atherectomy for limb salvage compared with open bypass in patients with critical limb ischemia.METHODS:
Ninety-nine consecutive bypass and atherectomy procedures performed for critical limb ischemia between January 2003 and October 2006 were reviewed.RESULTS:
A total of 99 cases involving TASC C (n = 43, 44%) and D (n = 56, 56%) lesions were treated with surgical bypass in 59 patients and atherectomy in 33 patients. Bypass and atherectomy achieved similar 1-year primary patency (64% vs 63%; P = .2). However, the 1-year limb salvage rate was greater in the bypass group (87% vs 69%; P = .004). In the tissue loss subgroup, there was a greater limb salvage rate for bypass patients versus atherectomy (79% vs 60%; P = .04).CONCLUSIONS:
Patients with critical limb ischemia may do better with open bypass compared with atherectomy as first-line therapy for limb salvage.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Vasculares
/
Aterectomía
/
Implantación de Prótesis Vascular
/
Recuperación del Miembro
/
Extremidad Inferior
/
Isquemia
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Vasc Endovascular Surg
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos