Annals of Vascular Diseases
Online ISSN : 1881-6428
Print ISSN : 1881-641X
ISSN-L : 1881-641X
Selection from the Journal of Japanese College of Angiology 2014
Long-Term Results of Treatment for Critical Limb Ischemia
Takuya MiyaharaMasamitsu SuharaYoko NemotoTakuro ShirasuMakoto HagaYasuaki MochizukiMitsuru MatsukuraTakafumi AkaiRyosuke TaniguchiMasaru NemotoSatoshi YamamotoAyako NishiyamaAkihiro HosakaKatsuyuki HoshinaHiroyuki OkamotoKunihiro ShigematsuTetsuro MiyataToshiaki Watanabe
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2015 Volume 8 Issue 3 Pages 192-197


From 2001 to 2012, arterial reconstruction was performed in 306 out of 497 limbs (62%) with critical limb ischemia. The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen disease were significantly worse compared to arteriosclerosis obliterans. Cumulative limb salvage, amputation free survival (AFS), and major adverse limb event and perioperative death (MALE + POD) in patients with end-stage renal disease (ESRD) were significantly worse compared to patients without ESRD, but not significant with regards to graft patency. Our finding suggests that aggressive arterial reconstruction provides satisfactory long-term results in critical limb ischemia so long as case selection for revascularization is properly made. (This article is a translation of J Jpn Coll Angiol 2014; 54: 5–11.)

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
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