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Infrainguinal bypass graft patency and limb salvage rates in critical limb ischemia: influence of the mode of presentation.

Abstract：

:Rest pain, ulceration, and gangrene are often considered together in studies describing outcomes in patients with critical limb ischemia. A retrospective analysis of prospectively collected data of 152 infrainguinal bypass grafts performed on 128 patients with chronic critical limb ischemia over a 6-year period was carried out. Grafts were classified according to the mode of presentation and were followed up by regular clinical and duplex examinations. Mean follow-up period was 29 months (range 12 to 60 months). Patients' demographics, risk factors, and graft characteristics were not statistically different between the groups. The 5-year cumulative primary patency rates were 33%, 52%, and 51% for gangrene, ulceration, and rest pain, respectively (p = 0.04). The 5-year cumulative primary assisted patency rates were 46%, 70%, and 72% for gangrene, ulceration, and rest pain, respectively (p = 0.01). The 5-year cumulative secondary patency rates were 48%, 76%, and 75% for gangrene, ulceration, and rest pain, respectively (p = 0.003). The 5-year cumulative limb salvage rates were 59%, 87%, and 83%, for gangrene, ulceration, and rest pain, respectively (p = 0.01). Gangrene is a distinct subcategory of critical limb ischemia with a worse prognosis than ulceration and rest pain and should be classified as such when reporting results of infrainguinal bypass grafts.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Nasr MK,McCarthy RJ,Budd JS,Horrocks M

doi

10.1007/s10016-001-0257-7

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

192-7

issue

2

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)61030-3

journal_volume

17

pub_type

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