lower extremity revascularization
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Indications
- peripheral vascular disease
- peripheral artery disease refractory to medical therapy
- relief of ischemic pain at rest, skin ulceration, or gangrene
Contraindications
- poor surgical candidates
- frailty*
* among nursing home residents, few become ambulatory, & many die within 1 year of surgery[1]
Radiology
Complications
- 30-day unplanned readmission rate 18%, many due to post-operative infections[2]
- acute limb ischemia[3]
Management
More general terms
More specific terms
References
- ↑ 1.0 1.1 Oresanya L et al. Functional outcomes after lower extremity revascularization in nursing home residents JAMA Intern Med 2015 Apr 6 <PubMed> PMID: https://pubmed.ncbi.nlm.nih.gov/25844523 <Internet> http://archinte.jamanetwork.com/article.aspx?articleid=2212266
- ↑ 2.0 2.1 Secemsky EA, Schermerhorn M, Carroll BJ et al Readmissions After Revascularization Procedures for Peripheral Arterial Disease: A Nationwide Cohort Study. Ann Intern Med. 2017;1-8. <PubMed> PMID: https://pubmed.ncbi.nlm.nih.gov/29204656 <Internet> http://annals.org/aim/article-abstract/2665039/readmissions-after-revascularization-procedures-peripheral-arterial-disease-nationwide-cohort-study
- ↑ 3.0 3.1 Hess CN, Wang TY, Weleski Fu J, et al. Long-term outcomes and associations with major adverse limb events after peripheral artery revascularization. J Am Coll Cardiol. 2020;75:498-508. PMID: https://pubmed.ncbi.nlm.nih.gov/32029132