Peripheral Arterial Obstructive Disease
Conditions
Brief summary
Peripheral Arterial Occlusive Disease is associated with a high risk of cardiovascular events. The critical ischemia stage represents the most severe stage of Peripheral Arterial Occlusive Disease, associated with decubitus pain and / or foot ulceration. The severity of this arterial involvement involves functional prognosis of the lower limb with a high risk of amputation, and the vital prognosis of the patient. In these patients, the rate of amputation and mortality at 1 year can reach 20%. Therefore, the goal of management in a multidisciplinary setting is limb salvage and improvement of the patient's vital prognosis. In the vascular medicine department, the indication and modalities of the revascularization procedure are discussed in a multidisciplinary consultation meeting. Surgical revascularization by distal bypass requires venous material that can be used, a receiving artery without diffuse lesions, in direct continuity with the arterial network of the foot, and the absence of co-morbidities against general anesthesia. With the modernization and development of endovascular equipment dedicated to the hamstrings, the interventional radiology techniques in the management of critical ischemia allow the treatment of one or more arterial axes as well as a very distal revascularization in the arteries. of the foot with less morbidity-mortality compared to surgery, especially in patients the most fragile patients. Since 2013, the endovascular revascularization procedures performed by the interventional radiology team have been an integral part of the management of patients with peripheral arterial disease of the lower limbs monitored in the vascular medicine department. The hospital is therefore a privileged place to observe the long-term impact of this medical care on the future of patients with different stages of severity of arterial disease. The objective of this retrospective study is to evaluate the life-threatening, limb salvage and associated prognostic factors in patients with Peripheral Arterial Occlusive Disease supported by endovascular revascularization in the vascular medicine department of the GHPSJ.
Interventions
None listed
Sponsors
Fondation Hôpital Saint-Joseph
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient whose age ≥ 18 years * Patient with intermittent / intermittent claudication / arterial ulcer / mixed ulcer / critical ischemia / acute ischemia, whose need for a revascularization procedure in the patient's medical management was discussed and confirmed as a multidisciplinary staff between 1st November 2013 and September 2018 * endovascular revascularized Patient * Francophone patients
Exclusion criteria
* Patients under guardianship or curatorship * Patients deprived of their liberty * Patients who oppose the use of their data for this research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival rate without major amputation | year 1 | The outcome measure the survival rate without major amputation at 1 year. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Intraoperative Deaths and Cardiovascular Events | Day 1 | This measures the prevalence of Intraoperative Deaths and Cardiovascular Events. |
| Prevalence of Deaths and Cardiovascular Events, at 1 month | Month 1 | This measures the prevalence of Deaths and Cardiovascular Events, 1 month after the surgery. |
| Prevalence of Deaths and Cardiovascular Events, at 1 year | Year 1 | This measures the prevalence of Deaths and Cardiovascular Events, 1 year after the surgery. |
| Healing rate | Year 1 | This outcome measure the healing rate, 1 year after the surgery. |
Countries
France
Outcome results
None listed