Lower limb salvage after infrapopliteal arteries angioplasty
Abstract
Peripheral arterial disease of the lower limbs is one of the main causes of cardiovascular morbidity. This condition has a high prevalence both nationally and internationally. Advanced stage disease can lead to the loss of the affected limb.
The purpose of this work is to evaluate the clinical success of distal leg angioplasties in patients operated on at the Hospital de Clínicas Dr. Manuel Quintela, during the period 2016-2022. A retrospective observational study was carried out. The study population included patients from the Hospital de Clínicas with chronic lower limb ischemia undergoing revascularization using infrapopliteal angioplasty within the stipulated period.
A total of 51 patients were included, of which the average age was 66.5 years,. The proportion of male patients was 58%.
The study showed a limb salvage rate of 96% at one month, 76% at one year, and 72% at two years.
Amputation-free survival was 93.5%, 69.1% at one year, and 66.8% at two years. Twenty-eight percent of the limbs required major amputation in a two-year follow-up period. 15% of the treated limbs needed reintervention, and approximately half of these ultimately required amputation. In conclusion, the revascularization procedures had a high level of effectiveness, due to the high amputation-free survival and a high limb salvage rate during 2-year follow-up in our practice. The need for reintervention was low and the overall survival of the patients high.
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Copyright (c) 2025 Cindy Coromoto Camacho Castro, Carlos Alberto Jourdan Romero, Cristian Nahuel Almeida Cesarotti, Mirian Leticia Barrios Denis, Noemi Esther López Doldán, Rodrigo Ignacio Alonso Gómez, Gabriela Aguiar Sosa, María Viviana Griego Valiente, Santiago Federico Laporta Noba
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