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lower extremity revascularization
Indications:
- peripheral vascular disease
- peripheral artery disease refractory to medical therapy
- relief of ischemic pain at rest, skin ulceration, or gangrene
Contraindications:
- poor surgical candidates
- frailty*
* among nursing home residents, few become ambulatory, & many die within 1 year of surgery [1]
Radiology:
- post-operative ultrasound duplex Doppler lower extremity (American College of Radiology)
Complications:
- 30-day unplanned readmission rate 18%, many due to post-operative infections [2]
Specific
peripheral artery bypass
General
revascularization
References
- Oresanya L et al.
Functional outcomes after lower extremity revascularization
in nursing home residents
JAMA Intern Med 2015 Apr 6
PMID: 25844523
http://archinte.jamanetwork.com/article.aspx?articleid=2212266
- Secemsky EA, Schermerhorn M, Carroll BJ et al
Readmissions After Revascularization Procedures for Peripheral
Arterial Disease: A Nationwide Cohort Study.
Ann Intern Med. 2017;1-8.
PMID: 29204656
http://annals.org/aim/article-abstract/2665039/readmissions-after-revascularization-procedures-peripheral-arterial-disease-nationwide-cohort-study