Abstract
Chronic Limb Ischemia (CLI) is a severe stage of peripheral arterial disease characterized by reduced blood flow to the extremities, often leading to amputations and high morbidity and mortality rates. Treatment options include open revascularization or endovascular techniques such as angioplasty, which is less invasive but requires more frequent reinterventions. This observational and retrospective study compares hospital data for open revascularization and infrainguinal angioplasty in Brazil from 2004 to 2023, using SIH/SUS and DataSUS. The analysis included costs, mortality, length of stay, character of service, and demographic distribution of procedures. During this period, 114,417 angioplasty procedures and 47,502 open revascularizations were performed, with a total expenditure of $98.5 million. The number of deaths was 1,314 for angioplasty and 1,723 for revascularization, with mortality rates of 1.3% and 3.4%, respectively. The Northeast region stood out for having a higher ratio of angioplasty to open revascularization procedures.
Published Version
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