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Journal of Agriculture Food and Development

Global Journal of Angiology - Volume 2

Surgical Mortality in Critical Ischemia

Published on: 09 May 2016

Pages: 08-10

José Maria Pereira de Godoy

Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto-FAMERP-Brazil

Abstract:

The objective of this study was to evaluate surgical mortality in critical leg ischemia comparing bypass surgery with major amputations.

By reviewing patient charts, 471 patients submitted to bypass surgery for critical leg ischemia between March 8, 1999 and September 10, 2008 in Hospital de Base, São José do Rio Preto were evaluated in a cohort prospective quantitative study. Patients submitted to femoropopliteal, femorofemoral and iliofemoral reconstructions were identified. The age and gender of the patients was recorded as was mortality during treatment. This was compared to data of major amputations carried out between January 2005 and January 2007 as reported in a previous study. Percentages and the Fischer exact test were employed for statistical analysis with an alpha error of 5% considered acceptable. This study was approved by the Research Ethics Committee.

Six (1.48%) of 404 patients submitted to femoropopliteal revascularization, 2 (6.6%) of 30 submitted to femorofemoral bypasses and 1 (2.7%) of 37 patients submitted to iliofemoral reconstructions died giving a total of 1.91% deaths. The mortality reported in major amputations was 13 (5.6%) in 231 patients and the mean age was 61.5 years old. The mortality rate associated to major amputations was higher than with bypass surgery for critical leg ischemia (Fischer exact test: p-value < 0.01).

The progression of arteriosclerosis is associated with high surgical mortality and mutilating surgeries.

Keywords: Mortality, Ischemia, Arteriosclerosis.

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