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. ![Is Atherectomy the Best First-Line Therapy for Limb Salvage in Patients With Critical Limb Ischemia? [link]](https://bibbase.org/img/filetypes/link.svg "link")
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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