Comparison of surgical treatment results of critical limb ischemia and analysis off actors influencing the outcome of surgical treatment

P Beňo,P Štefanič,M Rusňák,I Kopolovets

doi:10.26779/2522-1396.2019.11-12.13

Abstract

Objective. To evaluate the results of surgical treatment of critical limb ischemia in two specialized vascular centers. Materials and methods. The results of surgical treatment of 202 patients with critical lower limb ischemia, which were operated in two specialized vascular centers: I Group (76 patients) -ClinicofVascularSurgery at the Military Hospital, Ruzomberok,Slovak Republic; II Group (126 patients) -ClinicofVascularSurgery, EastSlovakInstituteofCardiovascularDiseases, Kosice, Slovak Republic. Results.The patency of arterial reconstructions in I Group was: the femoro-supragenicular segment: 1 year -83%, 3 years - 73%;the infragenicular segment: 1 year - 68%, 3 years - 52%. In II Group -the femoro-supragenicular segment: 1 year - 91%, 3 years - 82%;the infragenicular segment: 1 year - 72%, 3 years - 64%. Conclusion.The patency of arterial reconstructions during the first year in both vascular centers was without statistical difference. The femoro-supragenicular reconstructions had the best patency over three years (> 70%). The following factors influenced the duration of arterial reconstructions: the type of graft used, diabetesmellitus, smoking.

Highlights

Critical limb ischemia (CLI) is developedabout 20% of patients with peripheral arterial disease, and about in 10% of patients with intermittent claudication in up to one year
The following factors influenced the duration of arterial reconstructions: the type of graft used, diabetesmellitus, smoking
Group) were 76 patients with CLI treated by surgery in total, out of which 45 were on the femoro–supragenicular segment, and 31 were on infragenicular segment

Summary

Introduction

Critical limb ischemia (CLI) is developedabout 20% of patients with peripheral arterial disease, and about in 10% of patients with intermittent claudication in up to one year. The yearly CLI incidenceis estimatedas 500–1000 new cases for 1 million inhabitants [1]. In the Slovak Republic incidence of CLI is about 2500–5000 new cases per year [2]. About 30–80% patients with diabetes are affected by CLI. Patients with diabetes have 12–24 times higher probability of above–knee amputation [3]. CLI is connected with a high risk of limb http: //hirurgiya.com.ua

Methods

Results

Conclusion