Nationwide Trends of Hospital Admission and Outcomes Among Critical Limb Ischemia Patients

Abstract

While CLI admission rates have remained constant from 2003 to 2011, rates of surgical revascularization have significantly declined and endovascular revascularization procedures have increased. This has been associated with decreasing rates of in-hospital death and major amputation rates in the United States. Despite multiple adjustments, endovascular revascularization was associated with reduced in-hospital mortality compared to surgical revascularization during 2003 to 2011.

Treatment of Infrapopliteal Disease in Critical Limb Ischemia

“…6 This is despite an increase in the prevalence of comorbidities such as diabetes mellitus, chronic kidney disease, and obesity. 6 Beyond better tools and techniques, many other challenges remain.…”

“…6 This is despite an increase in the prevalence of comorbidities such as diabetes mellitus, chronic kidney disease, and obesity. 6 Beyond better tools and techniques, many other challenges remain. These include proper reimbursement for treating complex lesions and patients, underutilization of revascularization in patients undergoing amputation, 22 and continued disparities in revascularization and amputation among blacks and those of lower socioeconomic status.…”

“…These include proper reimbursement for treating complex lesions and patients, underutilization of revascularization in patients undergoing amputation, 22 and continued disparities in revascularization and amputation among blacks and those of lower socioeconomic status. 6 Although better procedural techniques are important, without a comprehensive approach that involves the patient, physician, institutions, and payers, our results will remain suboptimal.…”

“…5 Yet, the rates of amputation and mortality continue to decline in patients with CLI, whereas surgical bypass has significantly decreased. 6 Given the paucity of advances for infrapopliteal disease, Mustapha et al, 7 in this issue of Circulation: Cardiovascular Interventions, examined the current state of angioplasty for the treatment of infrapopliteal disease through conducting a meta-analysis and a systematic review of all studies from 2005 to 2015.…”

Rationale and design of the RECording COurses of vasculaR Diseases registry (RECCORD registry)

“…In Germany, there are an estimated 4.5 million people aff ected by PAD [5,6] and this fi gure is expected to rise. Compared to historical data [7], the rate of major amputation and amputation-related deaths has decreased over the last decades [8][9][10]. However, the overall prognosis of patients with PAD, particularly of the subset with critical limb ischaemia (CLI), remains poor [11].…”