We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Impact of Tibial Runoff on Outcomes of Endovascular Treatment for Femoropopliteal Atherosclerotic Lesions.
- Authors
Park, Ui Jun; Kim, Hyoung Tae; Roh, Young-Nam
- Abstract
Objectives: The aim of this study is to investigate the impact of tibial runoff on outcomes of femoropopliteal interventions for atherosclerotic lesions. Methods: A retrospective review of 243 endovascular procedures for femoropopliteal atherosclerotic lesions on 243 limbs of 197 patients was performed. Results: The distribution rates of good tibial runoff (runoff score <7) and poor tibial runoff (runoff score ≥7) were 37.0% and 63.0%, respectively. In the poor tibial runoff group, the patients were older (P = .019), and the proportion of male was lower (P = .014). There was a significantly higher proportion of rest pain or tissue loss (P < .001), and the prevalence of stroke (P = .031) and renal insufficiency (P = .005) was significantly higher in the poor runoff group. After femoropopliteal intervention, the amputation-free survival (P = .03) and freedom from ischemia (P = .003) were significantly lower in the poor runoff group. The interventions targeting below-the-knee (BTK) lesions performed concomitantly for critical limb ischemia or tissue loss with poor tibial runoff did not show a significant advantage in terms of freedom from ischemia; however, minor trends of longer lasting freedom from ischemia were observed when BTK intervention was combined. Conclusion: The patients with poor runoff showed significantly lower amputation-free survival and freedom from ischemia. In poor tibial runoff limbs with critical limb ischemia or tissue loss, BTK intervention did not demonstrate additional significant beneficial outcomes; however, there was a minor trend of longer lasting freedom from ischemia after concomitant BTK intervention.
- Subjects
CORONARY disease; CORONARY heart disease surgery; FEMORAL artery; POPLITEAL artery; AMPUTATION; ISCHEMIA; KNEE; KNEE surgery; KIDNEY failure; STROKE; SURVIVAL; TREATMENT effectiveness; DISEASE prevalence; RETROSPECTIVE studies; SURGERY; TIBIAL arteries; PROGNOSIS
- Publication
Vascular & Endovascular Surgery, 2018, Vol 52, Issue 7, p498
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574418779466