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Titolo:
Lack of functional benefits following infrainguinal bypass in peripheral arterial occlusive disease patients
Autore:
Gardner, AW; Killewich, LA;
Indirizzi:
Maryland Vet Affairs Hlth Care Syst, Baltimore Vet Affairs Med Ctr, GRECC 18, Baltimore, MD 21201 USA Maryland Vet Affairs Hlth Care Syst Baltimore MD USA 21201 , MD 21201 USA Univ Maryland, Dept Med, Div Gerontol, Claude D Pepper Older Amer Independence Ctr, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 endence Ctr, Baltimore, MD 21201 USA Univ Texas, Med Branch, Dept Surg, Vasc Surg Sect, Galveston, TX 77550 USAUniv Texas Galveston TX USA 77550 Vasc Surg Sect, Galveston, TX 77550 USA
Titolo Testata:
VASCULAR MEDICINE
fascicolo: 1, volume: 6, anno: 2001,
pagine: 9 - 14
SICI:
1358-863X(200102)6:1<9:LOFBFI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
DAILY PHYSICAL-ACTIVITY; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; INTERMITTENT CLAUDICATION; ENERGY-EXPENDITURE; OLDER CLAUDICANTS; LOWER-EXTREMITY; INSUFFICIENCY; SURGERY; TRIAL;
Keywords:
ambulation; critical limb-threatening ischemia; intermittent claudication; physical activity; revascularization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Gardner, AW Maryland Vet Affairs Hlth Care Syst, Baltimore Vet Affairs MedCtr, GRECC 18, 10 N Greene St, Baltimore, MD 21201 USA Maryland Vet Affairs Hlth Care Syst 10 N Greene St Baltimore MD USA 21201
Citazione:
A.W. Gardner e L.A. Killewich, "Lack of functional benefits following infrainguinal bypass in peripheral arterial occlusive disease patients", VASC MED, 6(1), 2001, pp. 9-14

Abstract

This study aimed to determine whether peripheral arterial occlusive disease (PAOD) patients with critical limb-threatening ischemia experienced functional benefits following lower extremity revascularization. Twenty ambulatory patients (aged 68 +/- 7 years) underwent infrainguinal revascularizationto alleviate their symptoms. Peripheral hemodynamic and functional measures were obtained on each patient 1 week prior to and 3-4 months following revascularization. Critical limb-threatening ischemia was alleviated by surgery in all patients because the ankle/brachial index (ABI) increased 133% (p< 0.001) from 0.33 +/- 0.06 to 0.77 +/- 0.09. Despite the marked peripheral hemodynamic improvement following revascularization, little gains were noted in functional measures. The 6-min walking distance was unchanged (p = 0.739) from 85 +/- 9 m to 101 +/- 11 m, Additionally, the free-living daily physical activity, measured by an accelerometer worn over a 2-day period, was unchanged (p = 0.996) from 214 +/- 46 kcal/day to 215 +/- 83 kcal/day, In contrast, self-perceived ambulatory function improved by 142% to 271% Ip < 0.001), and self-perceived physical activity increased 134% to 156% (p < 0.001). In conclusion, limb salvage following infrainguinal bypass does nottranslate into improvements in measured ambulation or in measured physicalactivity in PAOD patients, even though the patients perceive these measures to be better.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 15:20:46