What question did this study set out to answer?

This analysis aims to determine the effectiveness of percutaneous endovascular intervention (PEI) prior to lower extremity free tissue transfer in achieving limb salvage.

January 23, 2026

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Percutaneous Endovascular Intervention Prior to Lower Extremity Free Tissue Transfer Provides Effective and Durable Limb Salvage: Analysis of 338 Cases Over a 13-Year Period.

RRRachel RöhrichGeorgetown University KLKaren R. LiNorthwestern University EYElonay YehualashetGeorgetown University

Key Points

This analysis aims to determine the effectiveness of percutaneous endovascular intervention (PEI) prior to lower extremity free tissue transfer in achieving limb salvage.
Analyzed 338 cases over 13 years
Compared limb salvage and flap success rates between patients with and without PEI
Assessed preoperative comorbidities
Patients requiring PEI had comparable limb salvage rates to those without intervention
Flap success rates were similar across both groups
PEI improved reconstructive options for advanced PAD patients

Abstract

Despite significant differences in baseline comorbidities, patients requiring PEI achieved limb salvage and flap success rates comparable to those without the need for such intervention. Preoperative vascular optimization via PEI is an effective tool to expand reconstructive options for patients with advanced PAD.

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Percutaneous Endovascular Intervention Prior to Lower Extremity Free Tissue Transfer Provides Effective and Durable Limb Salvage: Analysis of 338 Cases Over a 13-Year Period.

Key Points

Abstract

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