Long-Term Results of Treatment for Critical Limb Ischemia

• Miyahara Takuya

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Suhara Masamitsu

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Nemoto Yoko

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Shirasu Takuro

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Haga Makoto

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Mochizuki Yasuaki

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Matsukura Mitsuru

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Akai Takafumi

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Taniguchi Ryosuke

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Nemoto Masaru

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Yamamoto Satoshi

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Nishiyama Ayako

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Hosaka Akihiro

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Hoshina Katsuyuki

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Okamoto Hiroyuki

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Shigematsu Kunihiro

  Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan

• Miyata Tetsuro

  Vascular Center, Sanno Medical Center, International University of Health and Welfare, Tokyo, Japan

• Watanabe Toshiaki

  Surgical Oncology, Department of Surgery, The University of Tokyo, Tokyo, Japan

抄録

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.)

収録刊行物

• Annals of Vascular Diseases

  Annals of Vascular Diseases 8 (3), 192-197, 2015

  Annals of Vascular Diseases 編集委員会

キーワード

• arteriosclerosis obliterans
• peripheral arterial disease
• critical limb ischemia
• arterial reconstruction

詳細情報

• CRID: 1390001205274369152
• NII論文ID: 130005100048
• DOI: 10.3400/avd.oa.15-00074
• ISSN: 18816428
• ISSN: 1881641X
• Web Site: https://www.jstage.jst.go.jp/article/avd/8/3/8_oa.15-00074/_pdf
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可