An Outcome Analysis of Interventions in Peripheral Vascular Disease
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Peripheral arterial disease of the lower extremity is an important cause of morbidity in India. It is a common condition with variable morbidity affecting men and women over the age of 45 years. Study aimed to analyze the 30 day and 6 month outcomes after vascular interventions (both open and endovascular) for peripheral arterial disease, to evaluate the role of peri-operative and subsequent anticoagulation after vascular interventions and to assess the quality of life at admissions and at 1 month and 6 month after interventions. Material and methods: All patients with limb ischemia presenting to a general surgery unit of a tertiary hospital with vascular surgery facility were included in the study. It was a combined retrospective and prospective group study. Result: Limb salvage rate was 80% at 1 month and 76% at 6 month after revascularization. Perioperative anticoagulation and antiplatelet therapy plays a very important role in ensuring graft patency and limb salvage. In our study, we found significant improvement in all eight parameters of quality of life including physical functioning, physical health, emotional problems, energy/fatigue, emotional well being, social functioning, pain and general health at 1month and 6 month of follow up. Conclusion: Revascularization is the optimal treatment for patients with critical limb ischemia and this can be achieved by surgical or by endovascular interventions. From the patients point of view functional outcomes in the form of quality of life benefits are more important than just the graft patency and limb salvage. Antiplatelet and anticoagulation treatment have distinct roles in the management of these patients with PAD.
Authors and Affiliations
Mutharaju KR
Keywords
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