[Patient assessments of quality of life following bypass for chronic critical limb ischaemia].
The value of infrainguinal bypass surgery for critical limb ischaemia (CLI) in elderly patients is being scrutinised more as medical resources decline. Despite technically successful revascularisation, patient quality of life seems impaired by delayed wound healing and repeated hospitalisation for interventions and operations. Therefore it is questionable whether these frail patients benefit from bypass surgery with respect to their health-related quality of life. This review examines current evidence of patients with CLI and summarises the effect of bypass surgery on their own quality of life assessments. All in all, patients benefit from the revascularisation because ambulation status improves and independence is preserved. From a patient's perspective these improvements in quality of life justify an aggressive approach towards revascularisation for CLI.
Engelhardt
M
M
Klinik für Gefässchirurgie, Bundeswehrkrankenhaus, Oberer Eselsberg 40, Ulm, Germany. m-engelhardt@web.de
Wohlgemuth
W A
WA
Willy
C
C
Tannheimer
M
M
Wölfle
K D
KD
D000203:Activities of Daily Living / Q000523:psychology; D000671:Amputation, Surgical / Q000523:psychology; D000800:Angioplasty, Balloon / Q000523:psychology; D001158:Arteries / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003925:Diabetic Angiopathies / Q000401:mortality / Q000523:psychology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000401:mortality / Q000523:psychology* / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D023821:Limb Salvage / Q000523:psychology; D011183:Postoperative Complications / Q000523:psychology; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D014680:Veins / Q000637:transplantation