Femoral artery percutaneous revascularization for patients with critical limb ischemia: outcomes compared to patients with claudication over 2.5 years.

摘要: Patients with critical limb ischemia have higher rates of death and amputation after revascularization compared to patients intermittent claudication. However, the differences in patency percutaneous superficial femoral artery are uncertain impact long-term risk function ischemia. We identified 171 limbs from 136 consecutive who had angioplasty and/or stenting for superficial stenoses or occlusions July 2003 through June 2007. were followed primary secondary patency, up 2.5 years, 111 claudicants retrospectively 25 Successful occurred 128 142 (90%) claudication versus 29 (86%) (p = 0.51). Overall at years was 91% 88% In Cox proportional hazards models, similar (adjusted hazard ratio 1.1, 95% CI 0.4, 2.6; p 0.89) 0.2, 6.0; 0.95) mortality claudicants, prior statin use associated less 0.034) 0.010), clopidogrel 0.034). conclusion, is durability both groups. Intensive treatment atherosclerosis factors surveillance restenosis likely contribute improving outcomes manifestations peripheral disease.