Objectives: The aim of the study was to assess the change in health related quality of life (HRQoL) after infrageniculate bypass grafting in patients with critical limb ischaemia (CLI).
Design: Observational, prospective clinical study.
Materials And Methods: In total, 86 patients (72% male; age 71 (IQR, 64-78) years) undergoing infrageniculate bypass grafting for limb salvage were assessed by the short form (SF)-36 questionnaire before and 6 months after surgery. In subgroup analysis, the influence of diabetes mellitus, age, gender, and stage of peripheral arterial occlusive disease on HRQoL-outcome were assessed.
Results: Following revascularization HRQoL significantly improved in all eight dimensions of the SF-36. While baseline HRQoL-values of diabetic and non-diabetic patients did not differ significantly, postoperative improvement was significantly less in the diabetes group.
Conclusions: An aggressive approach towards infrageniculate bypass surgery for limb salvage is justified by quality of life improvement. However, this improvement tends to be less in patients with diabetes mellitus.
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Department of Surgery, Division of Vascular & Endovascular Surgery, University of California San Diego, San Diego, California, The United States of America. Electronic address:
Background: Neuraxial anesthesia (NA) has been hypothesized to decrease postoperative complications and reduce mortality. However, studies regarding the impact of anesthesia type on outcomes of infrainguinal bypass (IIB) have demonstrated mixed results. In this multi-institutional study, we aimed to investigate the association of neuraxial anesthesia (NA) versus general anesthesia (GA) and perioperative and one-year outcomes of IIBs.
View Article and Find Full Text PDFPopliteal-distal bypass affords better limb salvage than tibial angioplasty for chronic limb-threatening ischemia.
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Department of Surgery, George Washington University Hospital, Washington, DC.
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Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN. Electronic address:
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Outcomes and predictors of amputation-free survival in patients undergoing below-knee popliteal-distal bypass.
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Division of Vascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY. Electronic address:
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Direct oral anticoagulants over warfarin at discharge associated with improved survival and patency in infra-geniculate bypasses with prosthetic conduits.
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Division of Vascular and Endovascular Therapy, Harrington Heart and Vascular Institute, University Hospitals, Cleveland Medical Center and Case Western Reserve University, Cleveland, OH.
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