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Clinical effects of single or double tibial artery revascularization in critical limb ischemia patients with tissue loss  Norihiro Kobayashi, MD, Keisuke.

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Presentation on theme: "Clinical effects of single or double tibial artery revascularization in critical limb ischemia patients with tissue loss  Norihiro Kobayashi, MD, Keisuke."— Presentation transcript:

1 Clinical effects of single or double tibial artery revascularization in critical limb ischemia patients with tissue loss  Norihiro Kobayashi, MD, Keisuke Hirano, MD, Masahiro Yamawaki, MD, PhD, Motoharu Araki, MD, Hideyuki Takimura, MD, Yasunari Sakamoto, MD, Shinsuke Mori, MD, Yoshiaki Ito, MD  Journal of Vascular Surgery  Volume 65, Issue 3, Pages (March 2017) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Patient selection and enrollment flow chart. ATA, Anterior tibial artery; CLI, critical limb ischemia; PA, peroneal artery; PTA, posterior tibial artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Representative cases of groups S and D. A, Before peripheral vascular intervention (PVI), both the anterior tibial artery (ATA) and the posterior tibial artery (PTA) had lesions, and single-artery revascularization (ATA only) was performed by PVI. Single-vessel inflow to the wound was achieved. B, Before PVI, both the ATA and the PTA had lesions, and both ATA and PTA were treated by PVI. Double-vessel inflows to the wound were achieved. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Wound healing rates at 1 year in groups S and D. B, Time to wound healing according to groups S and D in a healed wound alone. C, Repeat peripheral vascular intervention (PVI) rates in groups D and S in a healed wound alone. ATA, Anterior tibial artery; PTA, posterior tibial artery; SE, standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Limb salvage rate at 3 years between groups S and D. ATA, Anterior tibial artery; PTA, posterior tibial artery; SE, standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Amputation-free survival rates at 3 years in groups S and D. ATA, Anterior tibial artery; PTA, posterior tibial artery; SE, standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

7 Fig 6 A, Wound healing rates at 1 year in groups S and D in clinical stage 1 or 2 as assessed using the Society for Vascular Surgery Wound, Ischemia, and foot Infection (SVS WIfI) classification system. B, Wound healing rates at 1 year in groups S and D in clinical stage 3 or 4 as assessed using the SVS WIfI classification system. ATA, Anterior tibial artery; PTA, posterior tibial artery; SE, standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions


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