Malachi G. Sheahan, MD, Allen D. Hamdan, MD, Jennifer R

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Presentation transcript:

Lower extremity minor amputations: The roles of diabetes mellitus and timing of revascularization Malachi G. Sheahan, MD, Allen D. Hamdan, MD, Jennifer R. Veraldi, BA, Claudie S. McArthur, MD, John J. Skillman, MD, David R. Campbell, MD, Sherry D. Scovell, MD, Frank W. LoGerfo, MD, Frank B. Pomposelli, MD Journal of Vascular Surgery Volume 42, Issue 3, Pages 476-480 (September 2005) DOI: 10.1016/j.jvs.2005.05.003 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Kaplan-Meier survival curves demonstrating limb salvage in patients with and without end-stage renal disease (ESRD). Standard error is <10% in the displayed series. Solid line, nonuremic; dashed line, ESRD (P < .005). Journal of Vascular Surgery 2005 42, 476-480DOI: (10.1016/j.jvs.2005.05.003) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier survival curves showing limb salvage for all patients as a function of their initial amputation level. Salvage was significantly lower in the transmetatarsal group when compared with either the interphalangeal or ray group (P<.05). Standard error is <10% in the displayed series. Solid line, ray; dashed line, interphalangeal; dotted line, transmetatarsal. Journal of Vascular Surgery 2005 42, 476-480DOI: (10.1016/j.jvs.2005.05.003) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Kaplan-Meier analysis of patient survival as a function of renal insufficiency (serum creatinine level >2.0 mg/dL). Standard error is <10% in the displayed series. Solid line, serum creatinine ≤2.0 mg/dL; dashed line, serum creatinine >2.0 mg/dL (P < .000). Journal of Vascular Surgery 2005 42, 476-480DOI: (10.1016/j.jvs.2005.05.003) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier analysis demonstrating survival for all individuals in the series. Patients have been divided into two groups representing those who required a major ipsilateral amputation ≤30 days of their initial minor amputation and those who did not. Standard error is <10% in the displayed series. Solid line, no early major amputation; dashed line, early major amputation (P < .01). Journal of Vascular Surgery 2005 42, 476-480DOI: (10.1016/j.jvs.2005.05.003) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions