Document Detail

Autonomy following revascularisation in 80-year-old patients with critical limb ischaemia.
MedLine Citation:
PMID:  23040530     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We wanted to compare autonomy recovery after open and endovascular infrainguinal surgery for critical limb ischaemia (CLI) in octogenarians.
MATERIALS AND METHODS: We performed a retrospective analysis of 167 consecutive CLI octogenarians who underwent infrainguinal open surgery (OS) or endovascular surgery (ES) between 2003 and 2008. OS and ES groups were compared in terms of autonomy level (Parker score), survival, limb salvage and patency rates.
RESULTS: Preoperative autonomy level was similar in both groups (OS n = 109, ES n = 58) but 6-month postoperative autonomy level was better after ES (p = 0.01). There was a trend towards better survival after OS (74% at 1 year, 62% at 2 years, 32% at 4 years with OS and 68%, 50%, 17% respectively for ES p = 0.06), but no difference regarding limb salvage (91% at 1 year, 90% at 2 years, 89% at 4 years for OS and 94%, 87%, 86% respectively for ES, p = 0.939) and primary patency (76% at 1 year, 59% at 2 years, 50% at 4 years for OS and 82%, 75%, 32% respectively for ES, p = 0.467).
CONCLUSIONS: ES is justified in CLI octogenarians, because it allows restoring a higher autonomy level, with limb salvage and patency rates comparable to OS.
A Lejay; F Thaveau; Y Georg; C Bajcz; J-G Kretz; N Chakfé
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-10-04
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  44     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-20     Completed Date:  2013-02-11     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  562-7; discussion 568     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Department of Vascular Surgery, University Hospital of Strasbourg, Strasbourg, France.
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MeSH Terms
Activities of Daily Living
Age Factors
Aged, 80 and over
Chi-Square Distribution
Critical Illness
Endarterectomy* / adverse effects,  mortality
Endovascular Procedures* / adverse effects,  mortality
Ischemia / mortality,  physiopathology,  surgery*
Kaplan-Meier Estimate
Limb Salvage
Lower Extremity / blood supply*
Patient Selection
Personal Autonomy*
Postoperative Complications / etiology,  surgery
Recovery of Function
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Vascular Grafting* / adverse effects,  mortality
Vascular Patency
Comment In:
Eur J Vasc Endovasc Surg. 2013 Jun;45(6):693   [PMID:  23528245 ]
Eur J Vasc Endovasc Surg. 2013 Jun;45(6):693-5   [PMID:  23540805 ]
Eur J Vasc Endovasc Surg. 2012 Dec;44(6):568   [PMID:  23116988 ]

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