endovascular t reatment of l ower extremity ischemia in chronic r enal Failure Patients on dialysis: e arly and intermediate t erm r esults

作者: Dmitry Yakubovitch , Moshe Halak , Uri Rimon , Emanuel R. Reinitz , Tal Yalon

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摘要: Background: Peripheral arterial occlusive disease is common in patients with chronic renal failure requiring dialysis. Despite the increasing use of endovascular revascularization for lower extremity ischemia, success rates treating ischemia this challenging population remain obscure. Objectives: To assess results dialysis patients. methods: We conducted a retrospective review all who underwent treatment critical limb (CLI) our institution between 2007 and 2011. Data collected included comorbidities, clinical presentation, anatomic distribution vascular lesions, amputation survival rates. results: identified 50 limbs (41 patients). Indications gangrene 22%, non-healing wounds 45%, rest pain 31%, debilitating claudication 4%. Mean follow-up was 12 months (1–51 months). Nineteen required amputations. Freedom from at 5 years 40%. Factors associated nonhealing or (68% 36% respectively) diabetes ( P < 0.05). The rate 80% after years. conclusions: improvement techniques revascularization, incidence salvage among remains poor, resulting high major IMAJ 2013; 15: 734–738 peripheral (PAD), (CLI), end-stage (ESRD), dialysis,

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