Collective Therapy for Critical Limb Ischemia in Hemodialysis Patients

Abstract

To make a clear treatment strategy based on various treatment outcomes of previous care for critical limb ischemia in arteriosclerosis obliterans (ASO) with hemodialysis, 273 patients with critical limbs ischemia who were or were not receiving hemodialysis and who successfully underwent bypass grafting (bypass, n=197) or endovascular intervention (percutaneous angioplasty, n=76) were retrospectively compared at our hospital. The patency rate was higher for patients without hemodialysis than with hemodialysis in the endovascular intervention group, but there was no significant difference between the two groups in bypass grafting. The amputation-free survival rate was higher in patients without hemodialysis than with hemodialysis in bypass grafting and the endovascular intervention group. The P III risk score is useful in predicting limb salvage. The Goodney score is useful in predicting general condition. The infectious death rate was higher in patients with hemodialysis than without hemodialysis. We do not use a prosthetic graft for a bypass surgery when it is possible.