Chronic critical leg ischaemia must include leg ulcers.

L Konradsen; J Wounlund; P Holstein

doi:10.1016/s1078-5884(96)80138-9

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Chronic critical leg ischaemia must include leg ulcers.

L Konradsen·J Wounlund·P Holstein

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Abstract

OBJECTIVES: In a previous series on conservative treatment in patients with leg ulcers and severe arterial occlusive disease (systolic digital blood pressure (SDBP) < 30 mmHg) a 70% risk of leg amputation and a negligeable potential for ulcerhealing was found. This series assess the efficacy of arterial reconstruction in such patients. DESIGN: Retrospective study of consecutive patients in a department of vascular surgery and of dermatology in cooperation with the wound healing center. MATERIAL AND METHODS: Thirty-nine patients with 42 ulcerated legs underwent arterial revascularisation. 88% of the procedures were distal to the inguinal ligament. MAIN RESULTS: One patient died postoperatively (3%). Seven (18%) had wound complications, but none had graft infections. After 1 year the cumulative secondary patency was 90%, ulcer healing 70% and the limb salvage 90%. Thus only four legs (10%) had been amputated. CONCLUSIONS: Arterial revascularisation for leg ulcers is indicated when conservative treatment fails. Legs with ulceration and SDBP < 30 mmHg should be included in the concept of chronic critical ischaemia.

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Aged Aged, 80 and over Chronic Disease Female Graft Occlusion, Vascular Humans Ischemia Leg Leg Ulcer Male Postoperative Complications Retrospective Studies Vascular Surgical Procedures Journal Article

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L Konradsen, J Wounlund, P Holstein. 1996. Chronic critical leg ischaemia must include leg ulcers.. https://doi.org/10.1016/s1078-5884(96)80138-9

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