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International Angiology 2019 February;38(1):54-61

DOI: 10.23736/S0392-9590.18.04041-5


lingua: Inglese

Variability of revascularization techniques among Catalan hospitals and impact on leg salvage in patients with peripheral arterial disease

Ignasi BOLÍBAR 1 , Ignasi GICH 1, 2, Albert ANGLÈS 3, Josep M. ROMERO 4, José R. ESCUDERO 4

1 Department of Clinical Epidemiology and Public Health, Institute of Biomedical Research (IIB de Sant Pau), Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Autonomous University of Barcelona, Barcelona, Spain; 2 Biomedical Research Center Network for Mental Health (CIBERSAM), Barcelona, Spain; 3 Department of Clinical Documentation, Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; 4 Department of Angiology, Vascular and Endovascular Surgery, Biomedical Research Institute (IIB Sant Pau), Biomedical Research Center, Network for Cardiovascular Diseases (CIBERCV), Autonomous University of Barcelona, Barcelona, Spain

BACKGROUND: Indications for the revascularization treatment of peripheral arterial disease (PAD) generate much discussion, and practice varies significantly among hospitals. This study looked at patients with PAD admitted to all hospitals of the Catalan Health Service and analyzed patterns of revascularization techniques with subsequent amputation procedures.
METHODS: We used the clinical-administrative registry of admissions of all patients in the hospitals of Catalonia, north-east Spain, between 2009 and 2014. We analyzed the clinical course of patients admitted with PAD throughout their successive hospital admissions. Variability between hospitals was described for the revascularization techniques and amputations performed. Endovascular outcomes were compared with those from open surgery.
RESULTS: Annually, there were 9,828 admissions with PAD and 631 major amputations. Eight hospitals accounted for 52% of all admissions, and endovascular techniques occurred predominantly in high-tech, high-resolution or reference hospitals. The ratio of admissions involving endovascular techniques/open surgery varied from 0.02 to 3.73 according to the hospital, and had a correlation of -0.175 (P=0.447) with the percentage of performed major amputations and of 0.122 (P=0.598) ratio of minor / major amputations. At the end of the 6 studied years, endovascular revascularization resulted in lower patency and more minor amputations than open surgery, but had the same percentage of major amputations (10.3% vs. 10.7%, P=0.526) and lower in-hospital mortality (7.1% vs. 9.5%, P<0.0001).
CONCLUSIONS: Interventions of PAD are centralized in complex hospitals and have an important variability depending on the treating hospital. Hospital variability in revascularization techniques seems to have no impact on leg salvage. Endovascular and surgical revascularization would result in similar percentages of major amputations.

KEY WORDS: Peripheral arterial disease - Limb salvage - Amputation

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