Mortality after major amputation in diabetic patients with critical limb ischemia who did and did not undergo previous peripheral revascularization. Data of a cohort study of 564 consecutive diabetic patients

Ezio Faglia, Giacomo Clerici, Maurizio Caminiti, Vincenzo Curci, Jacques Clerissi, Sergio Losa, Andrea Casini, Alberto Morabito

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Abstract

Background: To evaluate the survival after major lower limb amputation, at a level either below (BKA) or above (AKA) the knee, in diabetic patients admitted to hospital because of critical limb ischemia (CLI). Methods: From January 1999 to December 2003, 564 diabetic patients were consecutively admitted to our Foot Center because of CLI and followed up until December 2005. A revascularization procedure was performed in 537 patients (95.2%): in 420 with peripheral angioplasty, in 117 with peripheral bypass graft. Neither endoluminal nor surgical revascularization was practicable in 27 (4.8%) patients. Results: Major amputation was performed in a total of 55 (9.8%) patients. Among the clinical and demographic variables evaluated, age was significantly lower (67.3±10.1 vs. 76.7±10.4, P

Original languageEnglish
Pages (from-to)265-269
Number of pages5
JournalJournal of Diabetes and its Complications
Volume24
Issue number4
DOIs
Publication statusPublished - Jul 2010

Keywords

  • Age
  • Critical limb ischemia
  • Diabetes
  • Major amputation
  • Revascularization
  • Survival

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

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