Do Patients with Critical Limb Ischaemia Undergo Multiple Amputations after Infrainguinal Bypass Surgery?

Background it has been suggested that an aggressive policy of bypass for limb salvage in critical ischaemia may result in patients subsequently undergoing multiple amputations. The aim of this study was to test this suggestion in the context of a dedicated Vascular Surgical Unit in a U.K. teaching h...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2001-05, Vol.21 (5), p.427-431
Main Authors: Whittaker, L., Wijesinghe, L.D., Berridge, D.C., Scott, D.J.A.
Format: Article
Language:English
Subjects:
Aged
Amputation
Blood Vessel Prosthesis
Female
Femoral Artery - surgery
Humans
Ischemia - surgery
Leg - blood supply
Leg - surgery
Male
Middle Aged
Popliteal Artery - surgery
Popliteal Vein - surgery
Postoperative Complications
Reoperation
Retrospective Studies
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Summary:Background it has been suggested that an aggressive policy of bypass for limb salvage in critical ischaemia may result in patients subsequently undergoing multiple amputations. The aim of this study was to test this suggestion in the context of a dedicated Vascular Surgical Unit in a U.K. teaching hospital. Methods three hundred and sixty-eight patients undergoing lower limb bypass operations for critical limb ischaemia between April 1991 and March 1999 were studied retrospectively. Their median age was 69 years (IQR 64–75) and 243 (66%) were men. Results seventy-five operations were followed by one or more amputation (20%). Only 2% were multiple amputations. Age and sex had no effect on amputation rates, but emergency bypass operations led to a higher rate of amputation in those with critical limb ischaemia. Conclusion patients with critical limb ischaemia who undergo lower limb bypass surgery rarely have subsequent multiple amputation.
ISSN:1078-5884
1532-2165
DOI:10.1053/ejvs.2001.1350