Open or endovascular revascularization in the treatment of acute lower limb ischaemia.

ABSTRACT: BACKGROUND:Consensus is lacking regarding intervention for patients with acute lower limb ischaemia (ALI). The aim was to study amputation-free survival in patients treated for ALI by either primary open or endovascular revascularization. METHODS:The Swedish Vascular Registry (Swedvasc) was combined with the Population Registry and National Patient Registry to determine follow-up on mortality and amputation rates. Revascularization techniques were compared by propensity score matching 1?:?1. RESULTS:Of 9736 patients who underwent open surgery and 6493 who had endovascular treatment between 1994 and 2014, 3365 remained in each group after propensity score matching. Results are from the matched cohort only. Mean age of the patients was 74·7?years; 47·5 per cent were women and mean follow-up was 4·3?years. At 30-day follow-up, the endovascular group had better patency (83·0 versus 78·6 per cent; P 

SUBMITTER: Grip O 

PROVIDER: S-EPMC6221085 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature