Superior limb salvage with endovascular therapy in octogenarians with critical limb ischemia

Abstract

Our results suggest that revascularization in patients >/=80 with CLI is justified, especially when an endovascular intervention can be accomplished. Although limb salvage following endovascular interventions were better in the >/=80 group, sustained clinical success, and secondary clinical success rates were similar following open and endovascular interventions in both age groups. Open procedures carry a high perioperative mortality in the >/=80 age group and should be avoided if possible.

An analysis of vascular surgery in elderly patients to determine whether age affects treatment strategy

“…Several papers have reported outcomes of one vascular treatment comparing younger patients with an older cohort [22][23][24]. However, we are not aware of another paper that has reported on such a large number of patients over such a long time, describing all the common open and endovascular procedures, thus effectively reflecting our total experience in arterial surgery over the past 30 years.…”

Outcomes after endovascular intervention for chronic critical limb ischemia

“…Variations of this definition to incorporate need for subsequent reintervention have been used previously by others as well as ourselves. 5,6 In this study, we not only evaluated target extremity revascularization (TER) but also included time frames for healing and parameters for recurrence in an effort to fully address issues of wound closure.…”

“…Clinical success after EVI for CLI has ranged between 31% and 59%. [4][5][6] Unfortunately, operational definitions of success and the study populations have varied, making comparative analysis difficult. Moreover, the term CLI is routinely used in clinical practice and research to designate a wide array of symptoms from ischemic rest pain to gangrene.…”

Aneurysmal degeneration of the superficial femoral artery after remote endarterectomy

“…2 This has led some centers to transition to an "endovascularfirst" approach. 3,4 Outcomes after open surgical revascularization depend on lesion anatomy and conduit availability. While the TransAtlantic Inter-Society Consensus (TASC) II working group recommended open bypass with autogenous conduit as the treatment of choice for TASC D lesions, 5 the patency of prosthetic femoropopliteal bypasses may not be superior to endovascular revascularization.…”