Microdialysis assessment of peripheral metabolism in critical limb ischemia after endovascular revascularization

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Microdialysis assessment of peripheral metabolism in critical limb ischemia after endovascular revascularization

BACKGROUND Critical limb ischemia is a chronic pathologic condition defined by the lack of blood flow in peripheral circulation. Microdialysis is a well-known and sensitive method for the early detection of tissue ischemia. The aim of the present study was to use microdialysis in order to analyse cellular metabolism changes after peripheral endovascular revascularization. METHODS Ten patients...

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Comparison of Clinical Outcomes after Surgical and Endovascular Revascularization in Hemodialysis Patients with Critical Limb Ischemia

AIM The treatment strategy for hemodialysis (HD) patients with critical limb ischemia (CLI) has been clinically debatable. Here we compared clinical outcomes after bypass surgery (BSX) and after endovascular therapy (EVT) using propensity score matching. METHODS A retrospective multicenter database of 246 (68 BSX and 178 EVT) consecutive HD patients with CLI (79% with tissue loss) who underwe...

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Major adverse events, six months after endovascular revascularization for critical limb ischemia in diabetic patients.

BACKGROUND This prospective study aimed to evaluate the detailed outcomes of diabetic patients with critical limb ischemia, six months after percutaneous transluminal angioplasty and appropriate multidisciplinary wound care.  METHODS Totally, 45 consecutive patients (50 limbs) were enrolled and then divided into two groups according to the healing of ulcers. The endpoints were ulcer healing a...

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Improving the level of amputation of the lower extremity after therapeutic endovascular intervention for patients with critical limb ischemia

Methods: We conducted a comparative study of two groups of patients suffering from arterial insufficiency of the lower extremities, and the decision taken to amputate above the knee for both of them. A group of patients selected for a therapeutic peripheral intervention, and the effect of this intervention in improving the level of amputation studied and calculated statistically. The study cond...

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Three-Year Outcomes of Surgical Versus Endovascular Revascularization for Critical Limb Ischemia

BACKGROUND The aim of this study was to compare clinical outcomes between surgical reconstruction and endovascular therapy (EVT) for critical limb ischemia (CLI) in today's real-world settings. METHODS AND RESULTS This multicenter, prospective, observational study registered and followed 548 Japanese CLI patients. The registration was in advance of revascularization; 197 patients were schedul...

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ژورنال

عنوان ژورنال: Annals of Surgical Innovation and Research

سال: 2009

ISSN: 1750-1164

DOI: 10.1186/1750-1164-3-17