Prevalence and Outcomes of Endovascular Infrapopliteal Interventions for Intermittent Claudication

Mullins, C. Haddon; Novák, Zdeněk; Axley, John C.; Sutzko, Danielle C.; Spangler, Emily L.; Pearce, Benjamin J.; Patterson, Mark A.; Passman, Marc A.; Haverstrock, Brent D.; Siracuse, Jeffrey J.; Beck, Adam W.; McFarland, Graeme E.

doi:10.1016/j.avsg.2020.08.097

Cited by 7 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, prior literature has suggested the treatment of infrapopliteal arterial disease to be more challenging and associated with higher amputation rates. [19][20][21] Studies suggest that this may be due to smaller caliber arteries below the knee and a higher degree of diffuse calcification in infrapopliteal lesions. 19,20 One theory as to why infrapopliteal interventions were protective towards readmissions may lie in the anatomy of the vessel intervened on and the method by which it is carried out.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for 30-day Hospital Readmissions After Peripheral Vascular Interventions in Peripheral Artery Disease Patients at the US-Mexico Border

et al. 2023

View full text Add to dashboard Cite

Peripheral artery disease (PAD) is associated with high rates of readmission following endovascular interventions and contributes to a significant hospital readmission burden. Quality metrics like hospital readmissions affect hospital performance, but must adjust to local trends. Our primary goal was to evaluate risk factors and readmission rates post-percutaneous peripheral intervention in a US-Mexico border city, at a single tertiary university hospital. We performed a retrospective review of patients with PAD undergoing first time peripheral intervention from July 2015 to June 2020. Among 212 patients, 58% were readmitted with median 235-day follow-up (inter-quartile range (IQR) 42–924); 35.3% of readmissions occurred within 30 days, and 30.2% of those were within 7 days. Median time to readmission was 62 days. Active smokers had 84% higher risk of readmission (hazard ratio (HR) 1.84, 95% CI 1.23–2.74, P < .01). Other significant factors noted were insurance status—Medicaid or uninsured (HR 1.94, 95% CI 1.22–3.09), prior amputation (HR 1.69, 95% CI 1.13–2.54), heart failure, both preserved (HR 4.35, 95% CI 2.07–9.16) and reduced ejection fraction (HR 1.88, 95% CI 1.14–3.10). Below the knee, interventions were less likely to be readmitted (adjusted HR .64, 95% CI 0.42–.96). Readmission rates were unrelated to medication adherence.

show abstract

Section: Discussionmentioning

confidence: 99%