[MO-38] Presentation Awards
Clinical outcomes of critical limb ischemia patients with below-the-knee arterial disease managed by endovascular revascularization and aggressive limb salvage team in a tropical country
Introduction:Below-the-knee (BTK) arterial disease is a prevalent type of chronic limb ischemia in tropical region of Asia commonly associated with diabetes, with high likelihood of limb loss. This study reviews the clinical outcomes of the BTK critical limb ischemia (CLI) patients managed in a tertiary medical centre with a multi-disciplinary team providing endovascular revascularization and aggressive wound care.
Methodology:A retrospective review of all CLI patients with purely BTK disease who underwent endovascular intervention in 2017 in a tertiary medical centre. Patients with suprapopliteal arterial disease were excluded. All BTK CLI patients received early endovascular revascularization and wound care provided by a multi-disciplinary team. Patient demographics, co-morbidities, clinical presentation, interventions, clinical outcomes, wound closure, limb status and any mortality were recorded.
Results:A total of 76 limbs of 69 CLI patients underwent BTK endovascular intervention. Procedural success was achieved in 93.4%. There was a significant improvement in average Rutherford classification after BTK intervention at 3 (5.21 vs 4.37, p=0.001), 6 (5.20 vs 2.68, p
Conclusion:BTK endovascular revascularization together with aggressive wound management achieves satisfactory limb salvage but with high re-intervention rates. The role of revascularisation of the peroneal artery in wound healing should be further evaluated with prospective studies.
Methodology:A retrospective review of all CLI patients with purely BTK disease who underwent endovascular intervention in 2017 in a tertiary medical centre. Patients with suprapopliteal arterial disease were excluded. All BTK CLI patients received early endovascular revascularization and wound care provided by a multi-disciplinary team. Patient demographics, co-morbidities, clinical presentation, interventions, clinical outcomes, wound closure, limb status and any mortality were recorded.
Results:A total of 76 limbs of 69 CLI patients underwent BTK endovascular intervention. Procedural success was achieved in 93.4%. There was a significant improvement in average Rutherford classification after BTK intervention at 3 (5.21 vs 4.37, p=0.001), 6 (5.20 vs 2.68, p
Conclusion:BTK endovascular revascularization together with aggressive wound management achieves satisfactory limb salvage but with high re-intervention rates. The role of revascularisation of the peroneal artery in wound healing should be further evaluated with prospective studies.