title: Long-Term Results of Treatment for Critical Limb Ischemia.
abstract: From 2001 to 2012, arterial reconstruction was performed in 306 out of 497 limbs (62%) with critical limb ischemia. The reasons for non-vascularization include high operative risk (36%), extended necrosis or infection (20%), and technical issues (15%). Cumulative patency and limb salvage in collagen disease were significantly worse compared to arteriosclerosis obliterans. Cumulative limb salvage, amputation free survival (AFS), and major adverse limb event and perioperative death (MALE + POD) in patients with end-stage renal disease (ESRD) were significantly worse compared to patients without ESRD, but not significant with regards to graft patency. Our finding suggests that aggressive arterial reconstruction provides satisfactory long-term results in critical limb ischemia so long as case selection for revascularization is properly made. (This article is a translation of J Jpn Coll Angiol 2014; 54: 5-11.).
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Miyahara
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Suhara
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Nemoto
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Takuro
authors.initials: T
authors.lastname: Shirasu
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Haga
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Mochizuki
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Matsukura
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Akai
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Taniguchi
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Nemoto
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamamoto
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Ayako
authors.initials: A
authors.lastname: Nishiyama
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Hosaka
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Hoshina
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okamoto
authors.affiliation: Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Shigematsu
authors.affiliation: Vascular Center, Sanno Medical Center, International University of Health and Welfare, Tokyo, Japan.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Miyata
authors.affiliation: Surgical Oncology, Department of Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Watanabe
keywords: arterial reconstruction; arteriosclerosis obliterans; critical limb ischemia; peripheral arterial disease