Comparison of Limb Salvage Rate in Early Versus Delayed Presented Patients of Acute Lower Limb Ischemia Undergoing Revascularization

Authors

  • Sana Sharafat Ali Pakistan Institute of Medical Sciences Islamabad Pakistan
  • Syed Tanseer Asghar CDA Capital Hospital Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i1.6968

Keywords:

Acute Lower Limb Ischemia, Limb Salvage, Revascularization

Abstract

Objective: To compare the limb salvage rate in early versus delayed presented patients of Rutherford Class IIB acute lower extremity ischemia undergoing revascularization.

Study Design: Comparative prospective study

Place and duration: Hayat Wali Medical Center, Rawalpindi Pakistan, from Apr 2019 to Mar 2020.

Methodology: This study enrolled 42 patients, aged 20 to 70 years, with Rutherford Class IIB acute lower limb ischemia, which was divided into two groups. Group-I (delayed presented >6 hours) consist of 30 patients, and Group-II (early presented <6 hours) consist of 12 patients. All patients underwent embolectomy. The limb salvage rate was examined in the third postoperative month.

Results: In Group-I, limb salvage was found in 18(60%) patients, while in Group-II, there were 11(91.67%) patients; a significant difference was observed between both groups (p-value <0.05). The mortality rate was high in Group-I (delayed presented) as compared to Group-II (16.67% vs 0%) with a p-value <0.05.

Conclusion: The limb salvage rate was higher in early presented patients than delayed presented patients. Mortality and amputation rates were observed to be higher in delayed-presented patients.

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Published

28-02-2023

Issue

Section

Original Articles

How to Cite

1.
Ali SS, Asghar ST. Comparison of Limb Salvage Rate in Early Versus Delayed Presented Patients of Acute Lower Limb Ischemia Undergoing Revascularization. Pak Armed Forces Med J [Internet]. 2023 Feb. 28 [cited 2024 Jun. 24];73(1):227-30. Available from: https://pafmj.org/PAFMJ/article/view/6968