TY - JOUR AU - Ali, Sana Sharafat AU - Asghar, Syed Tanseer PY - 2023/02/28 Y2 - 2024/03/29 TI - Comparison of Limb Salvage Rate in Early Versus Delayed Presented Patients of Acute Lower Limb Ischemia Undergoing Revascularization JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 73 IS - 1 SE - Original Articles DO - 10.51253/pafmj.v73i1.6968 UR - https://pafmj.org/PAFMJ/article/view/6968 SP - 227-30 AB - <p><strong>Objective:</strong> To compare the limb salvage rate in early versus delayed presented patients of Rutherford Class IIB acute lower extremity ischemia undergoing revascularization.</p><p><strong>Study Design:</strong> Comparative prospective study</p><p><strong>Place and duration:</strong> Hayat Wali Medical Center, Rawalpindi Pakistan, from Apr 2019 to Mar 2020.</p><p><strong>Methodology:</strong> 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 &gt;6 hours) consist of 30 patients, and Group-II (early presented &lt;6 hours) consist of 12 patients. All patients underwent embolectomy. The limb salvage rate was examined in the third postoperative month.</p><p><strong>Results:</strong> 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 &lt;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 &lt;0.05.</p><p><strong>Conclusion:</strong> 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.</p> ER -