Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: An intention-to-treat analysis of amputation-free and overall survival in patients randomized to a bypass surgery-first or a balloon angioplasty-first revascularization strategy

Abstract

Overall, there was no significant difference in AFS or OS between the two strategies. However, for those patients who survived for at least 2 years after randomization, a BSX-first revascularization strategy was associated with a significant increase in subsequent OS and a trend towards improved AFS.

Comparison of the Incidence of Complications and Secondary Surgical Interventions Necessary in Patients with Chronic Lower Limb Ischemia Treated by Both Open and Endovascular Surgeries

“…In the multicenter, randomized trial bypass versus angioplasty in severe ischaemia of the leg (BASIL), patients diagnosed with CLI were divided by the implemented method of surgical treatment. 7,8) The results showed no statistically significant differences between the endovascular and open methods, both in the number of amputations performed within 6 months after surgery and in the patients' declared quality of life. At the same time, it indicated an increased incidence of early complications (within 30 days) and higher costs associated with open surgery.…”

Long-Term Results of Combined Aortoiliac and Infrainguinal Arterial Reconstruction for the Treatment of Critical Limb Ischemia

“…In patients with CLI for whom there is a choice of treatment or it is possible to perform a bypass procedure to treat infrainguinal lesions, our clear preference is for bypass procedures opposed to endovascular procedures, as the BASIL trial suggested that patients with CLI who are likely to live for more than 2 years are probably better served by a bypass-fi rst strategy. 22,23) The hybrid approach appears to be a valuable alternative to completely open or endovascular procedures. Recently, the treatment options of CLI have included the aggressive application of EVT to treat more widespread lesions of the iliac artery, superfi cial femoral artery (SFA), and infrapopliteal artery, 1,24,25) in addition to hybrid procedures such as EVT of the SFA combined with distal or infrainguinal bypass and EVT of infrapopliteal lesions.…”

Ultrasonography-guided retrograde tibial artery puncture for recanalization of complex infrainguinal arterial occlusions

“…Percutaneous recanalization of the superficial femoral artery (SFA) is the most important alternative to surgery and appears equivalent to surgery in the management of patients with critical limb ischemia (CLI) (1). However, arterial occlusions can be difficult to treat by endovascular means especially in long segment occlusions; failure of the endovascular approach may result in amputation for patients with CLI.…”