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01-11-2006 | Papers Presented to the French Vascular Surgery Society

Survival and Quality of Life after Arterial Revascularization or Major Amputation for Critical Leg Ischemia in Guadeloupe

Authors: Michel Deneuville, MD, Arnauld Perrouillet, MD

Published in: Annals of Vascular Surgery | Issue 6/2006

Abstract

Functional outcome and survival in 253 patients treated for critical leg ischemia (CLI) in Guadeloupe (French West Indies) were analyzed. Analysis included calculation of quality-of-life score (QLS) from telephone survey data, with a median follow-up time of 42 months (range 12-109). A slight but significant benefit was observed in the 140 patients who underwent arterial reconstruction, with 76% autonomous ambulatory function, 51% independent residential status, and a QLS of 6.9 ± 1.5 in comparison with the 113 patients who underwent amputation: 34%, 17%, and 5.1 ± 2, respectively (p < 0.0001). Survival was comparable in the two groups. Inadequate medical follow-up that was either totally lacking or performed only in case of recurrent CLI as well as low rates of rehabilitation (50%) and prosthetic fitting (32%) in the amputation group highlight the existence of a double problem involving therapeutic compliance and vascular follow-up care/rehabilitation in Guadeloupe.

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Title: Survival and Quality of Life after Arterial Revascularization or Major Amputation for Critical Leg Ischemia in Guadeloupe
Authors: Michel Deneuville, MD
Arnauld Perrouillet, MD
Publication date: 01-11-2006
Publisher: Springer-Verlag
Published in: Annals of Vascular Surgery / Issue 6/2006
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI: https://doi.org/10.1007/s10016-006-9087-y

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Survival and Quality of Life after Arterial Revascularization or Major Amputation for Critical Leg Ischemia in Guadeloupe

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