One-Year Clinical Outcomes and Prognostic Factors Following Revascularization in Patients With Acute Limb Ischemia ― Results From the RESCUE ALI Study ―
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- Tan Michinao
- Cardiovascular Center Tokeidai Memorial Hospital
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- Takahara Mitsuyoshi
- Department of Diabetes Care Medicine, Osaka University Graduate School of Medicine
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- Haraguchi Takuya
- Department of Cardiology, Sapporo Heart Center
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- Uchida Daiki
- Department of Vascular Surgery, Asahikawa Medical University
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- Dannoura Yutaka
- Department of Cardiovascular Medicine, Sapporo City General Hospital
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- Shibata Tsuyoshi
- Department of Cardiovascular Surgery, Sapporo Medical University
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- Iwata Shuko
- Cardiovascular Center Tokeidai Memorial Hospital Department of Cardiovascular Medicine, Nayoro City General Hospital
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- Azuma Nobuyoshi
- Department of Vascular Surgery, Asahikawa Medical University
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説明
<p>Background: Acute limb ischemia (ALI) is a limb- and life-threatening condition and urgent treatment including revascularization should be offered to patients unless the limb is irreversibly ischemic. The aim of this study was to investigate 1-year clinical outcomes and prognostic factors following revascularization in patients with ALI.</p><p>Methods and Results: A retrospective, multicenter, nonrandomized study examined 185 consecutive patients with ALI treated by surgical revascularization (SR), endovascular revascularization (ER), or hybrid revascularization (HR) in 6 Japanese medical centers from January 2015 to August 2021. The 1-year amputation-free survival (AFS) rate was estimated to be 69.2% (95% confidence interval [CI], 62.8–76.2%). There were no significant differences among SR, ER, and HR regarding both technical success and perioperative complications. Multivariate analysis revealed that Rutherford category IIb and III ischemia (hazard ratio [HR]: 1.86; 95% CI: 1.06–3.25), supra- to infrapopliteal lesion (HR: 2.06; 95% CI: 1.08–3.95), and technical failure (HR: 2.58; 95% CI: 1.49–4.46) were independent risk factors for 1-year AFS.</p><p>Conclusions: Rutherford category IIb and III ischemia, supra- to infrapopliteal lesions, and technical failures were identified as independent risk factors for 1-year AFS. Furthermore, patients with multiple risk factors had a lower AFS rate.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 88 (3), 331-338, 2024-02-22
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390299229355390976
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 033364385
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- PubMed
- 37544740
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
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- 抄録ライセンスフラグ
- 使用不可