General outcomes and risk factors for minor and major amputations in Brazil.

Abstract:

:Objectives Major and minor amputations are associated with significant rates of mortality. However, little is known about the impact of unplanned redo-amputation during the same hospitalization on outcomes. The objectives of this study were to identify the risk factors associated with in-hospital mortality after both major and minor amputations as well as the results of unplanned redo-amputation on outcome. Methods Retrospective study of 342 consecutive patients who were treated with lower extremity amputation in Brazil between January 2013 and October 2014. Results The in-hospital mortality rate was higher in major compared to minor amputation (25.6% vs. 4.1%; p < 0.0001). Whereas chronic kidney disease, chronic obstructive pulmonary disease, and planned staged amputation predicted in-hospital mortality after major amputation, age, and congestive heart failure predicted mortality after minor amputation. The white blood cell count predicted in-hospital mortality following both major and minor amputation. However, postoperative infection predicted in-hospital mortality only following major amputation. Conclusions In-hospital mortality was high after major amputations. Unplanned redo-amputation was not a predictor of in-hospital mortality after major or minor amputation. Planned staged amputation was associated with reduced survival after major but not minor amputation. Postoperative infection predicted mortality after major amputation. Systemic diseases and postoperative white blood cell were associated with in-hospital mortality. This study suggests a possible link between a pro-inflammatory state and increased in-hospital mortality following amputation.

journal_name

Vascular

journal_title

Vascular

authors

Leite JO,Costa LO,Fonseca WM,Souza DU,Goncalves BC,Gomes GB,Cruz LA,Nister N Jr,Navarro TP,Bath J,Dardik A

doi

10.1177/1708538117736677

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

291-300

issue

3

eissn

1708-5381

issn

1708-539X

journal_volume

26

pub_type

杂志文章

相关文献

Vascular文献大全
  • Mortality outcomes of ruptured abdominal aortic aneurysms and rural presentation.

    abstract:OBJECTIVES:Centralisation of vascular surgery services has coincided with a move towards endovascular repair of ruptured abdominal aortic aneurysms with the goal to improve patient outcomes. The aim of this study was to assess the effect of rural presentation and transfer times on survival from ruptured abdominal aorti...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115599315

    authors: Munday E,Walker S

    更新日期:2016-10-01 00:00:00

  • Complexity of persistent type II endoleak associated with sac expansion after endovascular abdominal aortic aneurysm repair.

    abstract::Type II endoleak after endovascular aortic aneurysm repair still remains the Achilles' heel of the treatment, the source of which regularly is difficult to identify and treat. We present a patient with a persistent type II endoleak associated with a continuous aneurysm sac expansion after endovascular aortic aneurysm ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114562021

    authors: Spanos K,Rountas C,Giannoukas AD

    更新日期:2015-12-01 00:00:00

  • The natural history of type 2 endoleaks after endovascular aneurysm repair justifies conservative management.

    abstract::Objective Management of type 2 endoleaks after endovascular aneurysm repair has been controversial. Some advocate for conservative management, while others believe that intervention is indicated. This study investigated the natural history of type 2 endoleaks in order to derive direction in management. Methods Patient...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118766103

    authors: Ajalat M,Williams R,Wilson SE

    更新日期:2018-10-01 00:00:00

  • Pharmacomechanical thrombolysis with a rotator thrombolysis device in iliofemoral deep venous thrombosis.

    abstract:OBJECTIVE:Deep venous thrombosis (DVT) is a life-threatening and morbid pathology. This study aimed to investigate the efficacy of an early thrombolysis procedure using a rotator thrombolysis device. METHODS:Sixty-seven patients with acute proximal DVT were enrolled in the study. Patients' data were recorded retrospec...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115612637

    authors: Karahan O,Kutas HB,Gurbuz O,Tezcan O,Caliskan A,Yavuz C,Demirtas S,Mavitas B

    更新日期:2016-10-01 00:00:00

  • Arterial thrombosis in mice with factor V Leiden mutation.

    abstract::The factor V Leiden (FVL) mutation has been demonstrated to be associated with the development of venous thrombosis in humans. Whether such a propensity also exists in the arterial circulation remains controversial. In an effort to minimize the variability that clouds the clinical study of arterial thrombosis, we stud...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2008.00007

    authors: Sampram ES,Saad Y,Ouriel K

    更新日期:2008-01-01 00:00:00

  • Experimental measurement and mathematical modeling of pulsatile forces on a symmetric, bifurcated endoluminal stent graft model.

    abstract::The objective of this study was to measure the pulsatile forces acting on a symmetric, bifurcated endoluminal stent graft to validate a computational fluid dynamics (CFD) and analytic model so that they can be used for various graft dimensions. We used a load cell to measure the force owing to the movement of an acryl...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2009.00036

    authors: Liffman K,Sutalo ID,Bui A,Lawrence-Brown MM,Semmens JB

    更新日期:2009-07-01 00:00:00

  • Heparin-induced thrombocytopenia: diagnosis and management.

    abstract::Heparin is the predominant anticoagulant used in cardiac and vascular surgery. Heparin-induced thrombocytopenia (HIT) is one of the most serious and life-threatening adverse drug reactions associated with heparin use. In addition to the development of thrombocytopenia, HIT is associated with a high risk (40-50%) of th...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:

    authors: Liebman HA

    更新日期:2008-03-01 00:00:00

  • Treatment of iliac atherosclerotic lesions using the balloon-expandable dynamic bare metal stent: One-year outcomes of the BIODYNAMIC single-center retrospective analysis.

    abstract:OBJECTIVES:Endovascular therapy using balloon expandable stents has become the treatment standard for most iliac atherosclerotic lesions. We aimed to assess the safety and performance of the Dynamic stainless-steel balloon-expanding stent system in this location. METHODS:BIODYNAMIC is a retrospective single center stu...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120945422

    authors: Torsello GF,Doerr B,Donas K,Berekoven B,Torsello GB,Beropoulis E

    更新日期:2020-08-02 00:00:00

  • Effects of a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan Province, China.

    abstract::Survivors of ischemic stroke are still at a significant risk for recurrence. Antiplatelet agents are the treatment of first choice for long-term secondary prevention of vascular events. This study aims to assess a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients i...

    journal_title:Vascular

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/1708538116666159

    authors: Su Q,Li C,Long F,Chen B,Wan Z,Wu Y,Dai M,Wang D,Zhang Y,Wang B

    更新日期:2017-06-01 00:00:00

  • Endotension-related aortic sac rupture treated by endograft relining.

    abstract::Endovascular aortic aneurysm repair is an effective alternative to open surgical repair in high risk patient. Endotension is an unpredictable late and rare complication of EVAR. Clinical significance and choice of technique for treatment are controversial. At present, there are no cases of endotension-related aneurysm...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538113478725

    authors: Filippi F,Tirotti C,Stella N,Rizzo L,Taurino M

    更新日期:2013-04-01 00:00:00

  • The in vivo characterization of electrospun heparin-bonded polycaprolactone in small-diameter vascular reconstruction.

    abstract:OBJECTIVE:To evaluate the possibility of using heparin-bonded polycaprolactone grafts to replace small-diameter arteries. METHODS:Polycaprolactone was bonded with heparin. The activated partial thromboplastin time of heparin-bonded polycaprolactone grafts was determined in vitro. Small-diameter grafts were electrospun...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114550737

    authors: Duan HY,Ye L,Wu X,Guan Q,Yang XF,Han F,Liang N,Wang ZF,Wang ZG

    更新日期:2015-08-01 00:00:00

  • Early results with LifeStent implantation in RESILIENT and non-RESILIENT inclusion criteria patients.

    abstract::The purpose of our study was to determine outcomes of patients receiving the LifeStent (Bard Peripheral Vascular, Tempe, AZ) for femoropopliteal peripheral arterial disease in real-world academic practice outside the limitations of an industry supported trial. All patients from 2009 to 2012 at our institution who rece...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114545109

    authors: Stone PA,Campbell JE,Fischer R,Phang D,Thompson SN,Dippel N,Mousa A

    更新日期:2015-06-01 00:00:00

  • Early in vivo analysis of an endovascular stapler during endovascular aneurysm repair.

    abstract::The objective of this article is to describe the use and technique of a novel endostapling device used in an in vivo animal model. Six ovine underwent implantation of a Dacron endograft into the thoracic aorta followed by placement of endoclips proximally and distally. The animals were survived 35 days to evaluate the...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2009.00059

    authors: Murphy EH,Arko FR

    更新日期:2009-11-01 00:00:00

  • Treatment of symptomatic lower extremity acute deep venous thrombosis: role of mechanical thrombectomy.

    abstract::Systemic anticoagulation with heparin or its unfractionated derivatives followed by warfarin therapy has been the mainstay of treatment in patients with lower extremity deep venous thrombosis (DVT). Although heparin is an effective treatment modality in preventing thrombus propagation, it provides minimal therapeutic ...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.2310/6670.2007.00070

    authors: Biuckians A,Meier GH 3rd

    更新日期:2007-09-01 00:00:00

  • Adverse events at the aneurysmal neck identified at follow-up after endovascular abdominal aortic aneursym repair: how do they correlate?

    abstract::The objective of this study was to assess the prevalence of and the correlation between dilatation of the infrarenal neck and proximal device migration after endovascular abdominal aortic aneurysm repair (EVAR). The analysis made use of the EUROSTAR registry. Between 1994 and 2004, 4,233 patients with an abdominal aor...

    journal_title:Vascular

    pub_type: 杂志文章,多中心研究

    doi:10.1258/rsmvasc.13.5.261

    authors: Leurs LJ,Stultiëns G,Kievit J,Buth J,EUROSTAR Collaborators.

    更新日期:2005-09-01 00:00:00

  • Initial results of a 12-week, institution-based, supervised exercise rehabilitation program for the management of peripheral arterial disease.

    abstract::This study assessed the effectiveness of a 12-week, institution-based, supervised exercise rehabilitation program with atherogenic risk factor modification in improving cardiovascular profile, ambulatory function, and quality of life of patients with peripheral arterial disease (PAD) by comparing pre- and postprogram ...

    journal_title:Vascular

    pub_type: 临床试验,杂志文章

    doi:10.2310/6670.2010.00053

    authors: Franz RW,Garwick T,Haldeman K

    更新日期:2010-11-01 00:00:00

  • Changes and significance of T helper-9 cells and interleukin-9 in patients with atherosclerotic chronic lower limb ischemia: Effect on IL-17 release.

    abstract:OBJECTIVES:Atherosclerosis is considered as a chronic inflammatory disorder where the central role of T cells in its pathogenesis is well known. T helper-9 cells have a distinctive effect upon the inflammatory processes. They stimulate macrophages via secretion of their cytokine interleukin-9. Based on its known involv...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120905430

    authors: Moaaz M,Lotfy H

    更新日期:2020-08-01 00:00:00

  • Predictors of diffuse renal microembolization following endovascular repair of abdominal aortic aneurysms.

    abstract::We evaluated the incidence, risk factors, and clinical consequences of renal microembolic events following endovascular aneurysm repair using suprarenal or infrarenal fixation. Pre- and postoperative (1 month) computed tomographic angiograms were reviewed for new renal perfusion defects. Suprarenal aortic and infraren...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2007.00006

    authors: Boules TN,Stanziale SF,Chomic A,Selzer F,Tublin ME,Makaroun MS

    更新日期:2007-01-01 00:00:00

  • Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: A 24-year experience.

    abstract:BACKGROUND:Abdominal aortic aneurysms can be either treated by an open abdominal aortic aneurysm repair or an endovascular repair. Comparing clinical predictors of outcomes and those which influence survival rates in the long term is important in determining the choice of treatment offered and the decision-making proce...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115586682

    authors: Khashram M,Jenkins JS,Jenkins J,Kruger AJ,Boyne NS,Foster WJ,Walker PJ

    更新日期:2016-04-01 00:00:00

  • Clinical impact of hypogastric artery occlusion in endovascular aneurysm repair.

    abstract:PURPOSE:To report the long-term results for patients treated with endovascular aneurysm repair and additional embolization and coverage of the hypogastric artery compared with patients treated with simple endovascular aneurysm repair. METHODS:A database of our endovascular aneurysm repair patient cohort was reviewed t...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114560462

    authors: Kalteis M,Gangl O,Huber F,Adelsgruber P,Kastner M,Lugmayr H

    更新日期:2015-12-01 00:00:00

  • May-Thurner syndrome: case report and review of the literature involving modern endovascular therapy.

    abstract::May-Thurner syndrome is a rare clinical entity involving venous obstruction of the left lower extremity. Obstruction occurs secondary to compression of the left common iliac vein between the right common iliac artery and the underlying vertebral body. Current management largely involves endovascular therapy. A review ...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.2310/6670.2009.00027

    authors: Moudgill N,Hager E,Gonsalves C,Larson R,Lombardi J,DiMuzio P

    更新日期:2009-11-01 00:00:00

  • Radial force measurement of endovascular stents: Influence of stent design and diameter.

    abstract:BACKGROUND AND PURPOSE:Angioplasty and endovascular stent placement is used in case to rescue the coverage of main branches to supply blood to brain from aortic arch in thoracic endovascular aortic repair. This study assessed mechanical properties, especially differences in radial force, of different endovascular and t...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115590040

    authors: Matsumoto T,Matsubara Y,Aoyagi Y,Matsuda D,Okadome J,Morisaki K,Inoue K,Tanaka S,Ohkusa T,Maehara Y

    更新日期:2016-04-01 00:00:00

  • High low-density lipoprotein cholesterol level is the independent risk factor of primary patency rate of arteriovenous fistula.

    abstract:OBJECTIVES:An arteriovenous fistula is the first choice of vascular access in dialysis patients. However, the correlations between patient factors and the arteriovenous fistula patency rate remain unclear. Therefore, we examined the effect of dialysis patient factors on arteriovenous fistula patency rate. METHODS:This...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120905486

    authors: Yamazaki T,Shirai H,Yashima J,Tojimbara T

    更新日期:2020-08-01 00:00:00

  • Extracorporeal shockwave therapy for intermittent claudication: Medium-term outcomes from a double-blind randomised placebo-controlled pilot trial.

    abstract::Objectives Peripheral arterial disease most commonly presents as intermittent claudication (IC). Early evidence has suggested that extracorporeal shockwave therapy is efficacious in the short term for the management of intermittent claudication. The objective of this pilot trial was to evaluate the medium-term efficac...

    journal_title:Vascular

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1708538118773618

    authors: Green JL,Harwood AE,Smith GE,Das T,Raza A,Cayton T,Wallace T,Carradice D,Chetter IC

    更新日期:2018-10-01 00:00:00

  • A 6.5-cm pseudoaneurysm of the superior mesenteric artery managed by primary surgical repair.

    abstract::Superior mesenteric artery (SMA) aneurysms are rare but associated with significant mortality (25-40%) when complicated by rupture or thrombosis. Symptomatic SMA aneurysms, asymptomatic aneurysms of ≥2 cm size and pseudoaneurysms need intervention. We report a case of a 6.5-cm symptomatic SMA aneurysm managed by open ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/vasc.2010.cr0249

    authors: Dasari BV,Mullan M,Lau L,Loan W,Lee B

    更新日期:2013-02-01 00:00:00

  • Supervised exercise therapy for intermittent claudication: current status and future perspectives.

    abstract::Intermittent claudication (IC) has a high prevalence in the older population and is closely associated with cardiovascular and cerebrovascular disease. High mortality rates are reported due to ongoing atherosclerotic disease. Because of these serious health risks, treatment of IC should address reduction of cardiovasc...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1258/vasc.2011.ra0052

    authors: Lauret GJ,van Dalen DC,Willigendael EM,Hendriks EJ,de Bie RA,Spronk S,Teijink JA

    更新日期:2012-02-01 00:00:00

  • A rare cause of massive haematuria: Internal iliac artery-ureteric fistula.

    abstract::Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascu...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114538623

    authors: Rao AM,Khalil A,Suttie S

    更新日期:2015-04-01 00:00:00

  • Complications of reperfusion in acute aortic artery occlusion following saddle embolization originating from an atrial myxoma.

    abstract::A 58-year-old man presented to the hospital with an 8-hour history of acute-onset bilateral lower limb ischemia. A large saddle embolus had occluded the aorta and could not be removed by balloon endarterectomy through the femoral arteries. Successful open aortic and femoral thromboembolectomy followed by extensive fas...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/rsmvasc.12.3.202

    authors: Ali T,Castro J,Young CR,Burnand KG

    更新日期:2004-05-01 00:00:00

  • Association of statins with aortic, peripheral, and visceral artery aneurysm development.

    abstract::Objectives Prior studies examining the effects of statins on arterial aneurysm development and progression yielded conflicting results due to their smaller size and presence of residual confounders. The objective of this study is to examine the association of statins with risk of being diagnosed with aortic, periphera...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538116684942

    authors: Mansi IA,Frei CR,Halm EA,Mortensen EM

    更新日期:2017-08-01 00:00:00

  • Review: Quality of life in lower limb peripheral vascular surgery.

    abstract:PURPOSE:Vascular intervention studies generally consider patency and limb salvage as primary outcomes. However, quality of life is increasingly considered an important patient-oriented outcome measurement of vascular interventions. Existing literature was analyzed to determine the effect of different treatments on qual...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1177/1708538115578961

    authors: Donker J,de Vries J,Ho GH,Gonçalves FB,Hoeks SE,Verhagen HJ,van der Laan L

    更新日期:2016-02-01 00:00:00