Autonomy following revascularisation in 80-year-old patients with critical limb ischaemia

A. Lejay, F. Thaveau, Y. Georg, C. Bajcz, J. G. Kretz, N. Chakfé

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Objectives: We wanted to compare autonomy recovery after open and endovascular infrainguinal surgery for critical limb ischaemia (CLI) in octogenarians. Materials and methods: We performed a retrospective analysis of 167 consecutive CLI octogenarians who underwent infrainguinal open surgery (OS) or endovascular surgery (ES) between 2003 and 2008. OS and ES groups were compared in terms of autonomy level (Parker score), survival, limb salvage and patency rates. Results: Preoperative autonomy level was similar in both groups (OS n = 109, ES n = 58) but 6-month postoperative autonomy level was better after ES (p = 0.01). There was a trend towards better survival after OS (74% at 1 year, 62% at 2 years, 32% at 4 years with OS and 68%, 50%, 17% respectively for ES p = 0.06), but no difference regarding limb salvage (91% at 1 year, 90% at 2 years, 89% at 4 years for OS and 94%, 87%, 86% respectively for ES, p = 0.939) and primary patency (76% at 1 year, 59% at 2 years, 50% at 4 years for OS and 82%, 75%, 32% respectively for ES, p = 0.467). Conclusions: ES is justified in CLI octogenarians, because it allows restoring a higher autonomy level, with limb salvage and patency rates comparable to OS.

Original languageEnglish (US)
Pages (from-to)562-567
Number of pages6
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume44
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

  • Autonomy
  • Critical limb ischaemia
  • Endovascular surgery
  • Octogenarians
  • Open surgery

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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