Home > Riviste > International Angiology > Fascicoli precedenti > International Angiology 2019 June;38(3) > International Angiology 2019 June;38(3):225-9

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

ORIGINAL ARTICLE  PERIPHERAL ARTERIAL DISEASE Freefree

International Angiology 2019 June;38(3):225-9

DOI: 10.23736/S0392-9590.19.04096-3

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Wound healing after revascularization for critical limb ischemia

Masaya SANO, Kota YAMAMOTO , Akihiko SEO, Atsushi AKAI, Daisuke AKAGI, Toshio TAKAYAMA, Katsuyuki HOSHINA

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan



BACKGROUND: Wound healing is one of the most important endpoints after revascularization for critical limb ischemia. The purpose of this study was to evaluate the risk factors for wound healing after revascularization for critical limb ischemia (CLI).
METHODS: A retrospective study was conducted at a single university hospital, and data were collected retrospectively between January 2005 and September 2016. All admitted patients who were diagnosed with CLI and underwent revascularization for the first time were enrolled. The risk factors for wound healing were analyzed.
RESULTS: The risk factors for wound healing were analyzed in 153 patients. The cumulative rate of wound healing at 12 months after revascularization was 79%. The independent risk factors for wound healing were non-ambulatory status (hazard ratio, 1.95; 95% CI [1.22-3.21], P=0.004), and wound, ischemia and foot infection (WIfI) stage 4 (hazard ratio, 1.89; 95% CI [1.25-2.91], P=0.002).
CONCLUSIONS: In our study, non-ambulatory status and WIfI stage 4 were independent risk factors for wound healing after revascularization. WIfI criteria well reflected the prognosis of patients with CLI in wound healing, as well as limb salvage.


KEY WORDS: Wound healing; Ischemia; Foot; Infection

inizio pagina