Is Atherectomy the Best First-Line Therapy for Limb Salvage in Patients With Critical Limb Ischemia?. Loor, G., Skelly, C. L., Wahlgren, C., Bassiouny, H. S., Piano, G., Shaalan, W., & Desai, T. R. Vascular and endovascular surgery, 43(6):542–550, December, 2009. Paper doi abstract bibtex Objective To determine the efficacy of atherectomy for limb salvage compared with open bypass in patients with critical limb ischemia. Methods Ninety-nine consecutive bypass and atherectomy procedures performed for critical limb ischemia between January 2003 and October 2006 were reviewed. Results A total of 99 cases involving TASC C (n = 43, 44%) and D (n = 56, 56%) lesions were treated with surgical bypass in 59 patients and atherectomy in 33 patients. Bypass and atherectomy achieved similar 1-year primary patency (64% vs 63%; P = .2). However, the 1-year limb salvage rate was greater in the bypass group (87% vs 69%; P = .004). In the tissue loss subgroup, there was a greater limb salvage rate for bypass patients versus atherectomy (79% vs 60%; P = .04). Conclusions Patients with critical limb ischemia may do better with open bypass compared with atherectomy as first-line therapy for limb salvage.
@article{loor_is_2009,
title = {Is {Atherectomy} the {Best} {First}-{Line} {Therapy} for {Limb} {Salvage} in {Patients} {With} {Critical} {Limb} {Ischemia}?},
volume = {43},
issn = {1538-5744},
url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897235/},
doi = {10.1177/1538574409334825},
abstract = {Objective
To determine the efficacy of atherectomy for limb salvage compared with open bypass in patients with critical limb ischemia.
Methods
Ninety-nine consecutive bypass and atherectomy procedures performed for critical limb ischemia between January 2003 and October 2006 were reviewed.
Results
A total of 99 cases involving TASC C (n = 43, 44\%) and D (n = 56, 56\%) lesions were treated with surgical bypass in 59 patients and atherectomy in 33 patients. Bypass and atherectomy achieved similar 1-year primary patency (64\% vs 63\%; P = .2). However, the 1-year limb salvage rate was greater in the bypass group (87\% vs 69\%; P = .004). In the tissue loss subgroup, there was a greater limb salvage rate for bypass patients versus atherectomy (79\% vs 60\%; P = .04).
Conclusions
Patients with critical limb ischemia may do better with open bypass compared with atherectomy as first-line therapy for limb salvage.},
number = {6},
urldate = {2023-09-09},
journal = {Vascular and endovascular surgery},
author = {Loor, Gabriel and Skelly, Christopher L. and Wahlgren, Carl-Magnus and Bassiouny, Hisham S. and Piano, Giancarlo and Shaalan, Wael and Desai, Tina R.},
month = dec,
year = {2009},
pmid = {19640919},
pmcid = {PMC2897235},
pages = {542--550},
}
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{"_id":"QjfW5o25aLa3KWn5C","bibbaseid":"loor-skelly-wahlgren-bassiouny-piano-shaalan-desai-isatherectomythebestfirstlinetherapyforlimbsalvageinpatientswithcriticallimbischemia-2009","author_short":["Loor, G.","Skelly, C. L.","Wahlgren, C.","Bassiouny, H. S.","Piano, G.","Shaalan, W.","Desai, T. R."],"bibdata":{"bibtype":"article","type":"article","title":"Is Atherectomy the Best First-Line Therapy for Limb Salvage in Patients With Critical Limb Ischemia?","volume":"43","issn":"1538-5744","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897235/","doi":"10.1177/1538574409334825","abstract":"Objective To determine the efficacy of atherectomy for limb salvage compared with open bypass in patients with critical limb ischemia. Methods Ninety-nine consecutive bypass and atherectomy procedures performed for critical limb ischemia between January 2003 and October 2006 were reviewed. Results A total of 99 cases involving TASC C (n = 43, 44%) and D (n = 56, 56%) lesions were treated with surgical bypass in 59 patients and atherectomy in 33 patients. Bypass and atherectomy achieved similar 1-year primary patency (64% vs 63%; P = .2). However, the 1-year limb salvage rate was greater in the bypass group (87% vs 69%; P = .004). In the tissue loss subgroup, there was a greater limb salvage rate for bypass patients versus atherectomy (79% vs 60%; P = .04). Conclusions Patients with critical limb ischemia may do better with open bypass compared with atherectomy as first-line therapy for limb salvage.","number":"6","urldate":"2023-09-09","journal":"Vascular and endovascular surgery","author":[{"propositions":[],"lastnames":["Loor"],"firstnames":["Gabriel"],"suffixes":[]},{"propositions":[],"lastnames":["Skelly"],"firstnames":["Christopher","L."],"suffixes":[]},{"propositions":[],"lastnames":["Wahlgren"],"firstnames":["Carl-Magnus"],"suffixes":[]},{"propositions":[],"lastnames":["Bassiouny"],"firstnames":["Hisham","S."],"suffixes":[]},{"propositions":[],"lastnames":["Piano"],"firstnames":["Giancarlo"],"suffixes":[]},{"propositions":[],"lastnames":["Shaalan"],"firstnames":["Wael"],"suffixes":[]},{"propositions":[],"lastnames":["Desai"],"firstnames":["Tina","R."],"suffixes":[]}],"month":"December","year":"2009","pmid":"19640919","pmcid":"PMC2897235","pages":"542–550","bibtex":"@article{loor_is_2009,\n\ttitle = {Is {Atherectomy} the {Best} {First}-{Line} {Therapy} for {Limb} {Salvage} in {Patients} {With} {Critical} {Limb} {Ischemia}?},\n\tvolume = {43},\n\tissn = {1538-5744},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897235/},\n\tdoi = {10.1177/1538574409334825},\n\tabstract = {Objective\nTo determine the efficacy of atherectomy for limb salvage compared with open bypass in patients with critical limb ischemia.\n\nMethods\nNinety-nine consecutive bypass and atherectomy procedures performed for critical limb ischemia between January 2003 and October 2006 were reviewed.\n\nResults\nA total of 99 cases involving TASC C (n = 43, 44\\%) and D (n = 56, 56\\%) lesions were treated with surgical bypass in 59 patients and atherectomy in 33 patients. Bypass and atherectomy achieved similar 1-year primary patency (64\\% vs 63\\%; P = .2). However, the 1-year limb salvage rate was greater in the bypass group (87\\% vs 69\\%; P = .004). In the tissue loss subgroup, there was a greater limb salvage rate for bypass patients versus atherectomy (79\\% vs 60\\%; P = .04).\n\nConclusions\nPatients with critical limb ischemia may do better with open bypass compared with atherectomy as first-line therapy for limb salvage.},\n\tnumber = {6},\n\turldate = {2023-09-09},\n\tjournal = {Vascular and endovascular surgery},\n\tauthor = {Loor, Gabriel and Skelly, Christopher L. and Wahlgren, Carl-Magnus and Bassiouny, Hisham S. and Piano, Giancarlo and Shaalan, Wael and Desai, Tina R.},\n\tmonth = dec,\n\tyear = {2009},\n\tpmid = {19640919},\n\tpmcid = {PMC2897235},\n\tpages = {542--550},\n}\n\n\n\n\n\n\n\n\n\n\n\n","author_short":["Loor, G.","Skelly, C. L.","Wahlgren, C.","Bassiouny, H. S.","Piano, G.","Shaalan, W.","Desai, T. R."],"key":"loor_is_2009","id":"loor_is_2009","bibbaseid":"loor-skelly-wahlgren-bassiouny-piano-shaalan-desai-isatherectomythebestfirstlinetherapyforlimbsalvageinpatientswithcriticallimbischemia-2009","role":"author","urls":{"Paper":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897235/"},"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/drdanovak","dataSources":["xZ5hJJktDAHAFpiAW"],"keywords":[],"search_terms":["atherectomy","best","first","line","therapy","limb","salvage","patients","critical","limb","ischemia","loor","skelly","wahlgren","bassiouny","piano","shaalan","desai"],"title":"Is Atherectomy the Best First-Line Therapy for Limb Salvage in Patients With Critical Limb Ischemia?","year":2009}