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首页> 外文期刊>Vascular and endovascular surgery >Longitudinal outcomes after tibioperoneal angioplasty alone compared to tibial stenting and atherectomy for critical limb ischemia
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Longitudinal outcomes after tibioperoneal angioplasty alone compared to tibial stenting and atherectomy for critical limb ischemia

机译：与胫骨支架和斑块切除术相比，单独进行胫腓骨血管成形术后的纵向结局可治疗严重肢体缺血

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摘要

Objectives: There are limited data available evaluating longitudinal outcomes after tibioperoneal angioplasty (TA) alone compared to adjunctive tibial procedures including stenting and atherectomy. Methods: Using the Centers for Medicare & Medicaid Services inpatient claims (2005-2007), patients evaluated TA only, TA plus stent placement (TA + S), and TA plus atherectomy (TA + A). Results: A total of 2080 patients with critical limb ischemia underwent percutaneous tibioperoneal intervention for the indication of ulceration. Procedures included TA (56.3%), TA + S (16.2%), and TA + A (27.5%). Rates of amputation were not statistically different between the groups at 30, 90, and 365 days after the intervention. Mean total hospital charges were TA ($35 867), TA + A ($41 698; P = .0004), and TA + S ($51 040; P < .0001). Conclusions: Patients undergoing TA alone compared to concomitant stenting or atherectomy for ulceration demonstrated no improvement in limb salvage. Future analysis of adjunctive tibioperoneal interventions is essential to temper cost, as they fail to improve long-term limb salvage.
机译：目的：与包括支架置入术和旋切术的辅助性胫骨手术相比，仅评估胫腓骨血管成形术（TA）后的纵向结果的可用数据有限。方法：使用医疗保险和医疗补助服务中心的住院索赔（2005-2007），患者仅评估TA，TA加支架放置（TA + S）和TA加斑块切除术（TA + A）。结果：共有2080例严重肢体缺血患者接受了经皮胫腓骨介入治疗，以显示溃疡的指征。程序包括TA（56.3％），TA + S（16.2％）和TA + A（27.5％）。干预后30天，90天和365天，两组的截肢率无统计学差异。平均总住院费用为TA（$ 35 867），TA + A（$ 41 698; P = .0004）和TA + S（$ 51 040; P <.0001）。结论：与同时行支架置入术或斑块切除术治疗溃疡相比，单独接受TA的患者肢体挽救无改善。胫骨辅助辅助手术的未来分析对于降低成本至关重要，因为它们无法改善长期的肢体救助。

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