Changes in the management of critical limb ischaemia

摘要: A prospective study of all patients with critical limb ischaemia (CLI) who presented to a single vascular unit was undertaken for 12-month period. There were 222 referrals in 188 patients, 80.2 per cent which emergency or urgent admissions. The majority (72.5 cent) initially investigated colour duplex scanning characterize the arterial lesion. Diagnostic angiography performed 35.1 cent. An attempt at revascularization made 73.0 cases using percutaneous transluminal angioplasty (PTA) 42.3 cent, surgery 24.3 and combination PTA 6.3 Primary major amputation required 22 (9.9 conservative treatments used 38 (17.1 cent). in-hospital mortality rate 10 salvage 79 Diabetes an independent risk factor (odds ratio 2.4, 95 confidence interval 1.22-4.79, P = 0.012). Median hospital stay much shorter treated by (4.5 days) than (16 primary (18 days). complication requiring 5.5 CLI represents large non-elective workload unit. increasing use non-invasive assessment plays part successful management these patients.