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首页> 外文期刊>Vascular and endovascular surgery >Six-Month Freedom From Amputation Rates and Quality of Life Following Tibial and Pedal Endovascular Revascularization for Critical Limb Ischemia
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Six-Month Freedom From Amputation Rates and Quality of Life Following Tibial and Pedal Endovascular Revascularization for Critical Limb Ischemia

机译：患有截肢率和患有胫骨血管内血管血管血管血管血管血管血管血管血管血管血管血管内血管血管内血管血管缺血的六个月自由

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Objective: Patients with critical limb ischemia (CLI) and gangrene have a 10% to 38% rate of major amputation at 6 months. The purpose of this study is to report short- and mid-term major and minor amputation rates for patients who underwent tibial and pedal revascularization in addition to quality-of-life (QoL) scores. Methods: All patients who presented to a single institution with CLI (defined as rest pain or nonhealing wounds) and underwent antegrade or retrograde tibial access, atherectomy and angioplasty of the tibial circulation, and angioplasty of pedal circulation (antegrade or retrograde) from June 2016 to September 2017 were included. The Stark QoL questionnaire was used at each visit. Patients were scored at 1, 3, and 6 months postprocedure. Amputation rates were recorded. Results: Forty-two patients with CLI and gangrene underwent 57 peripheral interventions for limb salvage between June 2016 and September 2017. Thirty-two limbs had dry gangrene along the dorsalis pedis angiosome, 14 limbs had dry gangrene along the posterior tibial angiogram, and 11 limbs had a combined disease pattern. Twelve limbs underwent angioplasty of the superficial femoral artery (SFA), 18 limbs underwent angioplasty and stenting of the SFA, and 14 limbs underwent atherectomy, angioplasty, and stenting of the SFA. All patients had 1 or 2 tibial vessel runoff and high-grade stenosis of the pedal circulation. Immediate technical success defined as 3-vessel outflow to the foot occurred in 49 limbs (86%) with zero 30-day complications (30-day readmission, major amputation, or sepsis). Major amputation rate at 1, 3, and 6 months was 0%, 2%, and 4%, respectively. Patient satisfaction in terms of QoL increased over the 6-month follow-up period. Conclusion: Aggressive tibial and pedal revascularization may improve freedom from minor and major amputation at 6 months and may be associated with a short- and mid-term higher QoL.
机译：目的：患有临界肢体缺血（CLI）和Gangrene的患者在6个月内具有10％至38％的主要截肢率。本研究的目的是为除了生活质量（QOL）分数之外，为接受胫骨和踏板血运重建的患者报告短期和中期的主要和轻微截肢率。方法：所有患者与CLI（定义为休息疼痛或不热伤害）和胫骨循环的切断或逆行胫骨进入，血管成形术（直接或逆行）从2016年6月的胫骨循环的血管成形术（直接或逆行）纳入2017年9月。每次访问都使用了Stark QoL问卷。患者在后期1,3和6个月内得分。记录了截肢率。结果：2016年6月和2017年6月间肢体抢救的42例CLI和Gangrene患者进行了57例肢体干预措施。三十二肢沿着Dorsalis Pedis AnioSome沿着Dorsalis Pedis AnioSome干燥，14只肢体沿着后部胫骨血管造影，11肢体具有综合疾病模式。十二只肢体接受了浅表股动脉（SFA）的血管成形术，18只肢体血管成形术和SFA的支架，以及14只肢体切除术，血管成形术和SFA支架。所有患者患有1或2个胫骨径流和踏板循环的高级狭窄。直接的技术成功定义为脚的3艘血管流出，在49只四肢（86％）中发生过零30天的并发症（30天的阅览，重大截肢或败血症）。 1,3和6个月的主要截肢率分别为0％，2％和4％。患者在QoL方面的满意度在6个月的随访期内增加。结论：激进的胫骨和踏板血运重建可能会在6个月内改善核心和重大截肢的自由，可能与短期和中期高QOL相关联。

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