Research Article
Predictors of Amputation in Patients with Critical Lower Limb Ischemia
Author(s): Borges Wagner Ramos, Carvalho Aquiles Tadashi Ywata de and Aras Junior RoqueBorges Wagner Ramos, Carvalho Aquiles Tadashi Ywata de and Aras Junior Roque
Back Ground: Chronic critical ischemia of the lower limbs with the respective functional loss, continues to be a major public health problem, particularly in developing countries and patients with diabetes. Despite advances in diagnostic methods and innovations in endovascular treatment, amputation is still common, with great psychosocial impact. This study aims to identify possible predictors factors of major amputations in these patients. Materials and Methods: Prospective cohort study was conducted in which selected patients were submitted to clinical and laboratory evaluation, arterial imaging studies and defined study variables. Results: Between March 2015 and February 2016, 182 patients were selected. Of these, the affected limb was amputated in 66 and salvaged in 116. Amputations were more common among males (40.2%), smokers (3.. View More»