Technical and Clinical Long-Term Results of Infrapopliteal Percutaneous Transluminal Angioplasty for Critical Limb Ischemia

Odink, Henk F.; Berg, A. van den; Winkens, Björn

doi:10.1016/j.jvir.2011.12.011

Cited by 14 publications

(10 citation statements)

References 12 publications

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“…Peregrin et al (7) reported that the primary LSR, defined as functional limb salvage after the first revascularization with no subsequent intervention, of 76.1% after 1 year of follow-up in a large retrospective study. Our results of LSRs support the prior studies, which have found that despite an inferior primary patency, an endovascular revascularization leads to good LSRs that range from 80% to 95% at 1 to 3 years (4, 6-8, 17, 23). …”

Section: Discussionsupporting

confidence: 90%

“…Limb salvage was defined as salvage of a functional limb regardless of subsequent reintervention (6-8). …”

Section: Methodsmentioning

confidence: 99%

“…Clinical effectiveness of endovascular revascularization has been frequently judged by vessel patency and limb salvage (6-8), but there is paucity of reports on outcomes of the wound. The goal of this study was to evaluate the impact on wound healing as well as long-term clinical outcomes of endovascular revascularization in a large single-center population of patients with CLI.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Revascularization for Patients with Critical Limb Ischemia: Impact on Wound Healing and Long Term Clinical Results in 189 Limbs

et al. 2013

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ObjectiveTo evaluate the impact on wound healing and long-term clinical outcomes of endovascular revascularization in patients with critical limb ischemia (CLI).Materials and MethodsThis is a retrospective study on 189 limbs with CLI treated with endovascular revascularization between 2008 and 2010 and followed for a mean 21 months. Angiographic outcome was graded to technical success (TS), partial failure (PF) and complete technical failure. The impact on wound healing of revascularization was assessed with univariate analysis and multivariate logistic regression models. Analysis of long-term event-free limb survival, and limb salvage rate (LSR) was performed by Kaplan-Meier method.ResultsTS was achieved in 89% of treated limbs, whereas PF and CF were achieved in 9% and 2% of the limbs, respectively. Major complications occurred in 6% of treated limbs. The 30-day mortality was 2%. Wound healing was successful in 85% and failed in 15%. Impact of angiographic outcome on wound healing was statistically significant. The event-free limb survival was 79.3% and 69.5% at 1- and 3-years, respectively. The LSR was 94.8% and 92.0% at 1- and 3-years, respectively.ConclusionEndovascular revascularization improve wound healing rate and provide good long-term LSRs in CLI.

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Section: Discussionsupporting

confidence: 90%

“…Limb salvage was defined as salvage of a functional limb regardless of subsequent reintervention (6-8). …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endovascular Revascularization for Patients with Critical Limb Ischemia: Impact on Wound Healing and Long Term Clinical Results in 189 Limbs

et al. 2013

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“…In this study according to the angiosome concept, the most common site of diabetic foot wounds was the first toe supplied by the ATA, and the least common site was the lateral heal supplied by the PA, which is similar to the previous study. With development of the angiosome concept and continuous advances in endovascular treatment, recent studies on IP-PTA for critical limb ischemia have reported technical success rates of up to 90%, a one-year arterial patency rate of 40%-70%, and a oneyear limb salvage rate of 90%-95% (16,22).…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of angiosome-oriented infrapopliteal percutaneous transluminal angioplasty for isolated infrapopliteal lesions in patients with critical limb ischemia

Jeon

Cho²,

Yoon³

et al. 2015

Diagn Interv Radiol

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“…Lepantalo et al (17), however, reported significantly lower patency rates for stent grafts compared to bypass surgery, with a peri-operative mortality rate of 2.7%, resulting in the premature termination of their randomized clinical trial. Other studies also reported that despite the reduced primary patency, limb salvage rates remain comparable to surgical bypass and range from 74% at five years to 84.7% at eight years (41)(42)(43).…”

Section: Endovascular Therapymentioning

confidence: 95%

Critical limb ischemia: an update for interventional radiologists

Brazeau

Pinto

Harvey

et al. 2012

Diagn Interv Radiol

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Critical limb ischemia (CLI) is a growing epidemic with bleak patient outcomes. A variety of treatment modalities have been adopted to address CLI based on comorbidities, life expectancy, and the nature of the arterial disease. With advances in technology and treatment strategies, the clinical outcomes of CLI patients have significantly improved over recent years. However, despite progress, patency rates of both surgical and endovascular interventions, limb-salvage and amputation rates are still dismal. We review the epidemiology, treatment strategies, imaging modalities, and the microcirculation aspect of CLI.

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Technical and Clinical Long-Term Results of Infrapopliteal Percutaneous Transluminal Angioplasty for Critical Limb Ischemia

Cited by 14 publications

References 12 publications

Endovascular Revascularization for Patients with Critical Limb Ischemia: Impact on Wound Healing and Long Term Clinical Results in 189 Limbs

Endovascular Revascularization for Patients with Critical Limb Ischemia: Impact on Wound Healing and Long Term Clinical Results in 189 Limbs

Clinical outcome of angiosome-oriented infrapopliteal percutaneous transluminal angioplasty for isolated infrapopliteal lesions in patients with critical limb ischemia

Critical limb ischemia: an update for interventional radiologists

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