Five-year survival and outcomes of chronic hip stump ischemia treatment

Retrograde Trans-Amputation Embolectomy of Common, Superficial and Deep Femoral Arteries for Inflow Revascularisation During Above-Knee Amputation: A Case Report and Review of the Literature

“…Finally, the clinical benefits of successful revascularisation of the AKA stump include decreasing the incidence of stump ischemia, gangrene and sepsis necessitating wound revisions or a more proximal amputation such as a hip disarticulation which is associated with a very high mortality rates up to 43%. 4 The mortality benefit of successful revascularisation of the ischemic AKA stump was also observed in a cohort study by Zoloyev et al 5 who reported a 3-fold increase in 5-year survival amongst revascularized patients as compared with patients managed conservatively.…”

“…4 Conversely, successful revascularisation for AKA stump ischemia is associated with a reduction in mortality after AKA. 5…”

“…4 Conversely, successful revascularisation for AKA stump ischemia is associated with a reduction in mortality after AKA. 5 Therefore, good CFA and PFA inflow is essential both for wound healing and the reduction of mortality after AKA. Several methods of revascularisation to treat or prevent AKA stump ischemia have been described in the literature, each with their advantages and disadvantages.…”