Surgical or endovascular revascularization in patients with critical limb ischemia: Influence of diabetes mellitus on clinical outcome Florian Dick,

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Presentation transcript:

Surgical or endovascular revascularization in patients with critical limb ischemia: Influence of diabetes mellitus on clinical outcome Florian Dick, MD, Nicolas Diehm, MD, Aekaterini Galimanis, MD, Marc Husmann, MD, Juerg Schmidli, MD, Iris Baumgartner, MD Journal of Vascular Surgery Volume 45, Issue 4, Pages 751-761 (April 2007) DOI: 10.1016/j.jvs.2006.12.022 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Decision flow chart. PTA, Percutaneous transluminal angioplasty. Journal of Vascular Surgery 2007 45, 751-761DOI: (10.1016/j.jvs.2006.12.022) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Cumulative outcome estimates of primary efficacy study end points with bivariate analysis of treatment modality and diabetes by log-rank test. NON REVASC, Best medical therapy only cohort; SURG, surgical-first cohort; PTA (percutaneous transluminal angioplasty), endovascular-first cohort. A, Sustained clinical success of endovascular-first or surgical-first therapy compared with best medical therapy. Sustained clinical success was defined as survival without major amputation or repeated target extremity revascularizations (TERs), and improvement of clinical symptoms according to Rutherford et al.26 B, Secondary clinical success of endovascular-first or surgical-first therapy compared with best medical therapy. Secondary clinical success was defined as survival without amputation, and improvement of clinical symptoms according to Rutherford et al26 allowing repeated TERs. C, Secondary clinical success of endovascular-first or surgical-first therapy compared with best medical therapy, including delayed revascularization procedures. Journal of Vascular Surgery 2007 45, 751-761DOI: (10.1016/j.jvs.2006.12.022) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Cumulative limb salvage estimates over one year with bivariate analysis of treatment modality and diabetes. NON REVASC, Best medical therapy only cohort; SURG, surgical-first cohort; PTA (percutaneous transluminal angioplasty) endovascular-first cohort. Journal of Vascular Surgery 2007 45, 751-761DOI: (10.1016/j.jvs.2006.12.022) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions