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Revista mexicana de angiología
On-line version ISSN 2696-130XPrint version ISSN 0377-4740
Abstract
REGALADO-SOLIS, Francisco et al. Perioperative morbidity and mortality in patients with dysvascular amputations. Rev. mex. angiol. [online]. 2021, vol.49, n.3, pp.80-87. Epub Oct 25, 2021. ISSN 2696-130X. https://doi.org/10.24875/rma.21000009.
Background:
Amputations remains as a common treatment for patients in whom other measures have failed.
Objective:
To evaluate the outcomes at 30 days and one year after major disvascular amputation.
Material and methods:
Descriptive, retrospective study, using data from 127 consecutive patients from March 1, 2018, to February 28, 2019. We examined morbidity and mortality patterns after major lower extremity disvascular amputations.
Results:
132 major amputations were evaluated, associated with ischemia, showing 30-day mortality of 20.47% and an overall mortality at one year of 50.39%. One-year mortality risk in patients undergoing above the knee amputation was HR 1.974 (CI: 1.407-2.331, p = 0.049).
Conclusion:
The outcomes are similar with the ones described in modern literature in that disvascular amputations were associated with significant mortality in the follow-up and rising to 70% in end stage renal disease and ischemic heart disease patients.
Keywords : Acute arterial disease; Chronic arterial disease; Disvascular amputation; Major amputation; Mortality.
