Objective:

To compare the results between open revascularization and infrainguinal angioplasty as therapeutic measures in the salvage of the lower extremities in patients with critical ischemia at the Central Hospital of Chihuahua, Mexico.

Material and methods:

Retrospective cohort observational study. Patients under revascularization for critical ischemia during the period from March 2016 to March 2019 were included. The stratification was according to the selection of treatment and classification of Rutherford. Evaluation of limb salvage at 1 year, amputation-free survival and perioperative mortality in all patients.

Results:

We identified 72 patients, 33 (45.8%) infrainguinal bypass, 38 (52.7%) percutaneous angioplasty and 1 (1.3%) hybrid management. Follow-up at 1 year after revascularization, shows similar limb salvage and amputation-free survival in both revascularization groups; Patients under bypass with a salvage of 66.7%, while the angioplasty group was 73.7%, with a total salvage of 70.8%, p = 0.65, there is no statistically significant difference between these therapeutic options.

Conclusion:

In the present study there are no differences in mortality or limb salvage between both types of revascularization. The clinical decision included is limited by revascularization options based on the type of arterial lesions and the patient’s own characteristics.

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