Results: There were 149 consecutive surgical revascularizations performed (group 1, 62; group 2, 28; group 3, 59). There was one perioperative death (group 1) on day 2. The respective rates of 6-month patient survival were 92%, 89%, and 93% (P > .05). The corresponding graft patency rates of group 1 and group 3 were 89% and 96% (P > .05), whereas limb salvage rates were 91% and 96% (P > .05). However, group 2 showed a significant decline in both graft patency (76%) and limb salvage (71%). Four patients (two in group 1, two in group 2) had belowknee amputations with a functioning graft because of advancing sepsis. There was no significant difference in graft patency or limb salvage in comparing those who had previously failed endovascular intervention with those who had primary surgical revascularization.Conclusions: The presence of advanced CKD including ESRF should not be considered a limiting factor in limb revascularization. Whereas meticulous planning and care are needed to safeguard and to preserve remaining renal functions as well as to optimize outcomes in those with ESRF, the resulting limb salvage results have been excellent.

No abstract

No abstract

No abstract