scholarly journals SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY

2017 ◽  
Vol 176 (2) ◽  
pp. 28-32
Author(s):  
V. V. Shlomin ◽  
A. V. Gusinskiy ◽  
M. L. Gordeev ◽  
I. V. Mikhailov ◽  
D. N. Maistrenko ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Arterial Occlusive Disease ◽  
Long Term Results ◽  
Single Level ◽  
Individual Approach ◽  
Chronic Limb Ischemia

OBJECTIVE. The authors would like to consider the possibility and feasibility of simultaneous revascularization of two arterial segments in patients with lower extremity arterial occlusive disease by method of semiclosed loop endarterectomy. MATERIALS AND METHODS. The research included 143 patients. Revascularization of aortofemoral segment was performed on 67 patients. The simultaneous revascularization of aortofemoral and femoropopliteal segments was carried out for 76 patients. The follow-up period was 5 years. RESULTS. There was revealed that the long-term results of multilevel reconstruction were worse that single-level reconstruction. This method requires an individual approach. The best results of simultaneous interventions were obtained in patients aged 60 and older with the III stage of chronic limb ischemia and 2 or 3 working shin arteries. The worst results were observed in patients younger than 50 year old with IV stage of critical limb ischemia and significant lesions of shin arteries.

scholarly journals Long-Term Results for Primary Bypass Versus Primary Angioplasty/Stent for Lower Extremity Critical Limb Ischemia

2014 ◽  
Vol 59 (2) ◽  
pp. 560
Author(s):  
Jeremy D. Darling ◽  
Lindsey Korepta ◽  
Thomas Curran ◽  
John C. McCallum ◽  
Dominique Buck ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Primary Angioplasty ◽  
Long Term Results

scholarly journals Long-Term Results of Combined Aortoiliac and Infrainguinal Arterial Reconstruction for the Treatment of Critical Limb Ischemia

2015 ◽  
Vol 8 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Takuya Miyahara ◽  
Kunihiro Shigematsu ◽  
Ayako Nishiyama ◽  
Takuya Hashimoto ◽  
Katsuyuki Hoshina ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Long Term Results ◽  
Arterial Reconstruction

Long-Term Results and Risk Analysis of Redo Distal Bypass for Critical Limb Ischemia

2020 ◽  
Vol 68 ◽  
pp. 409-416
Author(s):  
Taira Kobayashi ◽  
Masaki Hamamoto ◽  
Masamichi Ozawa ◽  
Takumi Harada ◽  
Shinya Takahashi
Keyword(s):  
Risk Analysis ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Long Term Results

Is initial success of thrombolytic therapy with rt-PA in patients with lower limb ischemia durable? A long-term follow-up series

VASA ◽  
2007 ◽  
Vol 36 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Geier ◽  
Mumme ◽  
Köster ◽  
Marpe ◽  
Hummel ◽  
...  
Keyword(s):  
Thrombolytic Therapy ◽  
Success Rate ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Long Term Results ◽  
Bleeding Complications ◽  
Acute Ischemia ◽  
Lower Limb Ischemia

Background: Catheter-directed intraarterial thrombolytic therapy with rt-PA has been established as an alternative to surgery in selected patients with lower limb ischemia. The purpose of this study is to evaluate its long-term results and to try to identify patient variables influencing outcome. Patients and methods: The results of thrombolytic treatment for acute or subacute lower limb ischemia in 82 patients (51 male, 31 female) were retrospectively analysed. Clinical data (time of symptoms onset, clinical stage, type of affected vessel, anatomical localisation) as well as comorbidities were recorded. The success rate of thrombolysis as well as the incidence of adverse events was evaluated. Patients with initial success were followed up after a median of 52,5 months. Results: Thrombolytic therapy was successful in 67 cases (82%). An additional endovascular or surgical procedure was necessary in 39 of these patients (48%). The overall bleeding rate was 18% and the mortality and major amputation rate was 1%. 42 patients with early clinical success were available for follow-up. 34 of them (81%) were free of ischemic symptoms and the overall limb salvage rate was 96%. We could not identify factors significantly influencing early or long-term results, although there was a trend towards better results in patients with acute ischemia and in patients with occluded native arteries. Conclusions: Intraarterial local thrombolytic therapy has a relatively high initial success rate in selected patients with lower limb ischemia, but is associated with a significant number of bleeding complications. Furthermore, additional procedures are required in almost half the patients. Initial success is durable at the long-term in the majority of cases. Better selection of patients and refinements of the thrombolytic therapy might help to further improve results and lower the bleeding complications.

scholarly journals Long-term Results of Stem Cell Therapy for Acute and Chronic Limb Ischemia

2021 ◽  
Vol 74 (3) ◽  
pp. e50-e51
Author(s):  
Prem C. Gupta ◽  
Kereena Chukka ◽  
Vamsikrishna Yerramsetty ◽  
Gnaneswar Atturu
Keyword(s):  
Stem Cell ◽  
Cell Therapy ◽  
Stem Cell Therapy ◽  
Limb Ischemia ◽  
Long Term Results ◽  
Chronic Limb Ischemia
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