Document Detail


The role of foot collateral vessels on ulcer healing and limb salvage after successful endovascular and surgical distal procedures according to an angiosome model.
MedLine Citation:
PMID:  20675308     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Analyze the influence of the collateral distal vessels on ischemic ulcer healing and limb salvage after successful distal procedures, according to an angiosome model.
METHODS: Retrospective analysis of 76 ischemic ulcers revascularized by surgical (n = 41) and endovascular (n = 35) distal procedures. All interventions were primary procedures with single outflow vessel that remained patent during follow-up. Ulcers were classified according to an angiography angiosome study as ''direct revascularization'' ([DR] n = 45), ''indirect revascularization'' ([IR] n = 31), and IR ''through collaterals'' ([IRc] n = 18). Healing rates and limb salvage were compared according to the type of revascularization.
RESULTS: Ulcer healing rate at 12 months was higher in DR than in IR (92% vs 73%, P = .008) but similar to IRc (92% vs 85%). Limb salvage at 24 months was higher in DR than in IR (93% vs 72%, P = .02) but similar to IRc (93% vs 88%).
CONCLUSION: Ulcer blood flow restoration through collateral vessels may give similar results to those obtained through its specific source artery.
Authors:
César Varela; Francisco Acín; Joaquín de Haro; Silvia Bleda; Leticia Esparza; José Ramón March
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-07-30
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  654-60     Citation Subset:  IM    
Affiliation:
Department of Angiology and Vascular Surgery, Hospital Universitario de Getafe, Madrid, Spain. Varelot@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Amputation
Chi-Square Distribution
Collateral Circulation*
Critical Illness
Endovascular Procedures*
Female
Foot / blood supply*
Foot Ulcer / physiopathology,  radiography,  surgery*
Humans
Ischemia / physiopathology,  radiography,  surgery*
Kaplan-Meier Estimate
Limb Salvage
Regional Blood Flow
Reoperation
Retrospective Studies
Risk Assessment
Risk Factors
Spain
Time Factors
Treatment Outcome
Vascular Surgical Procedures*
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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