Early Duplex-derived Hemodynamic Parameters after Lower Extremity Bypass in Diabetics: Implications for Mid-term Outcomes

Toursarkissian, Boulos; Stefanidis, Dimitri; Hagino, Ryan T.; D’Ayala, Marcus; Schoolfield, John; Shireman, Paula K.; Sykes, Mellick T.

doi:10.1007/s10016-001-0272-8

Cited by 9 publications

(7 citation statements)

References 11 publications

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“…Major amputations within 30 days were reported in three studies and varied from 2.1, 3.5 and 5%. Only two studies reported amputations at 12 months . The amputation rates within 24 months following open surgery had an IQR of 12.8–22.8% with a median of 17.3%, and following an endovascular procedure, these figures were 5.4–12.5% and 8.9%, respectively.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

Hinchliffe

Andros

Apelqvist

et al. 2012

Diabetes Metabolism Res

222

198

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SummaryIn several large recent observational studies, peripheral arterial disease (PAD) was present in up to 50% of the patients with a diabetic foot ulcer and was an independent risk factor for amputation. The International Working Group on the Diabetic Foot therefore established a multidisciplinary working group to evaluate the effectiveness of revascularization of the ulcerated foot in patients with diabetes and PAD. A systematic search was performed for therapies to revascularize the ulcerated foot in patients with diabetes and PAD from 1980-June 2010. Only clinically relevant outcomes were assessed. The research conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the Scottish Intercollegiate Guidelines Network methodological scores were assigned. A total of 49 papers were eligible for full text review. There were no randomized controlled trials, but there were three nonrandomized studies with a control group. The major outcomes following endovascular or open bypass surgery were broadly similar among the studies. Following open surgery, the 1-year limb salvage rates were a median of 85% (interquartile range of 80-90%), and following endovascular revascularization, these rates were 78% (70.5-85.5%). At 1-year follow-up, 60% or more of ulcers had healed following revascularization with either open bypass surgery or endovascular revascularization. Studies appeared to demonstrate improved rates of limb salvage associated with revascularization compared with the results of medically treated patients in the literature. There were insufficient data to recommend one method of revascularization over another. There is a real need for standardized reporting of baseline demographic data, severity of disease and outcome reporting in this group of patients.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

Hinchliffe

Andros

Apelqvist

et al. 2012

Diabetes Metabolism Res

222

198

View full text Add to dashboard Cite

show abstract

“…Moreover, the procedures are technically challenging and can be compromised by poor-quality or inadequate venous conduits. [27][28][29][30][31] The evolved rationale for a primary endovascular approach to treatment of infrapopliteal lesions associated with CLI is based on the potential for more rapid and minimally invasive re-establishment of pulsatile blood flow to the foot, an outcome associated with prompt relief of rest pain, facilitated clearing of infection, and speeded wound healing. These benefits of improved blood flow plus good wound care usually result in limb salvage, with amputation either prevented altogether or else limited to below the ankle (toes or transmetatarsals).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the procedures are technically challenging and can be compromised by poor-quality or inadequate venous conduits. 27–31…”

Section: Discussionmentioning

confidence: 99%

Primary Cryoplasty Therapy Provides Durable Support for Limb Salvage in Critical Limb Ischemia Patients With Infrapopliteal Lesions:12-month Follow-up Results From the BTK Chill Trial

Das

McNamara

Gray

et al. 2009

Journal of Endovascular Therapy

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“…A meta-analysis of four DBS reports published since 2001 reveals a 5-year LS rate of 65–78.1% in 1,619 CLI patients (68–100% diabetic). 10–13 In a landmark article, Pomposelli et al reported a decade experience with pedal bypass in 1,032 CLI patients (92% diabetic) with excellent 5- and 10-year LS rates of 78.1% and 59.8%, respectively. 13…”

Section: Creative Surgical Bypass In CLImentioning

confidence: 99%

“…A meta-analysis of four DBS reports published since 2001 reveals a 5-year LS rate of 65-78.1% in 1,619 CLI patients (68-100% diabetic). [10][11][12][13] In a landmark article, Pomposelli et al reported a decade experience with pedal bypass in 1,032 CLI patients (92% diabetic) with excellent 5-and 10-year LS rates of 78.1% and 59.8%, respectively. 13 An analysis by Hunick et al of 4,511 patients treated with DBS revealed a 5-year patency rate of 66% in CLI with available venous conduits and 75% 5-year LS 14 ( Figure 4).…”

Section: Creative Surgical Bypass In CLImentioning

confidence: 99%

Critical Limb Ischemia and Diabetes: Creative Limb Salvage Revascularization Strategies

Allie

Patlola

Herbert

et al. 2008

Journal for Vascular Ultrasound

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Early Duplex-derived Hemodynamic Parameters after Lower Extremity Bypass in Diabetics: Implications for Mid-term Outcomes

Cited by 9 publications

References 11 publications

A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

Primary Cryoplasty Therapy Provides Durable Support for Limb Salvage in Critical Limb Ischemia Patients With Infrapopliteal Lesions:12-month Follow-up Results From the BTK Chill Trial

Critical Limb Ischemia and Diabetes: Creative Limb Salvage Revascularization Strategies

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