December 1, 1991British journal of surgery

Aggressive arterial reconstruction for critical lower limb ischaemia

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Why the study?

Does aggressive arterial reconstruction provide acceptable graft patency and limb salvage in patients with critical lower limb ischaemia regardless of preoperative angiographic run-off?

Population

315 patients with 329 critically ischaemic lower limbs. Patients were not excluded from limb salvage surgery…

Design

Case_series

Follow-up

5 years

Authors

NHN C HickeyTallaght University Hospital ITIan ThomsonThe King's College CSC.P. ShearmanUniversity of Southampton

Discussion

Member takes

Implication

May support aggressive reconstruction in critical limb ischaemia without run-off selection; hypothesis-generating and requires prospective validation.

Structured PICO

Does aggressive arterial reconstruction provide acceptable graft patency and limb salvage in patients with critical lower limb ischaemia regardless of preoperative angiographic run-off?

Population

315 patients with 329 critically ischaemic lower limbs. Patients were not excluded from limb salvage surgery on the basis of poor run-off on preoperative angiography.

Intervention

Aggressive arterial reconstruction (limb salvage surgery), including femorocrural bypass to a single calf vessel using in situ long saphenous vein, arm vein, or composite vein grafts.

Outcome

Cumulative graft patency and mortality at 30 days, 1 year, 2 years, and 5 yearshard clinical

Aggressive arterial reconstruction for critical lower limb ischaemia yields acceptable long-term graft patency even without preoperative angiographic selection based on run-off.

Cite This Study

Hickey et al. (1991) studied this question.

synapsesocial.com/papers/6a85b9faea214a590d3da522 https://doi.org/10.1002/bjs.1800781222

View Full Paper

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December 1, 1991British journal of surgery

Aggressive arterial reconstruction for critical lower limb ischaemia

View Full Paper

Ask AI

Bookmark

Why the study?

Does aggressive arterial reconstruction provide acceptable graft patency and limb salvage in patients with critical lower limb ischaemia regardless of preoperative angiographic run-off?

Population

315 patients with 329 critically ischaemic lower limbs. Patients were not excluded from limb salvage surgery…

Design

Case_series

Follow-up

5 years

Authors

NHN C HickeyTallaght University Hospital ITIan ThomsonThe King's College CSC.P. ShearmanUniversity of Southampton

Discussion

Member takes

Implication

May support aggressive reconstruction in critical limb ischaemia without run-off selection; hypothesis-generating and requires prospective validation.

Structured PICO

Does aggressive arterial reconstruction provide acceptable graft patency and limb salvage in patients with critical lower limb ischaemia regardless of preoperative angiographic run-off?

Population

315 patients with 329 critically ischaemic lower limbs. Patients were not excluded from limb salvage surgery on the basis of poor run-off on preoperative angiography.

Intervention

Aggressive arterial reconstruction (limb salvage surgery), including femorocrural bypass to a single calf vessel using in situ long saphenous vein, arm vein, or composite vein grafts.

Outcome

Cumulative graft patency and mortality at 30 days, 1 year, 2 years, and 5 yearshard clinical

Aggressive arterial reconstruction for critical lower limb ischaemia yields acceptable long-term graft patency even without preoperative angiographic selection based on run-off.

Cite This Study

Hickey et al. (1991) studied this question.

synapsesocial.com/papers/6a85b9faea214a590d3da522 https://doi.org/10.1002/bjs.1800781222

Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

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