Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
JMERC
0.3
Volume 13, Issue 4 (2021)                   Iran J War Public Health 2021, 13(4): 261-265 | Back to browse issues page

Print XML PDF HTML Full-Text (HTML)

History

How to cite this article
Al-Alosi B, Mohsin Hussein A, Jabber S. Improving the Level of Amputation of the Lower Extremity after Therapeutic Endovascular Intervention for Patients with Critical Limb Ischemia. Iran J War Public Health 2021; 13 (4) :261-265
URL: http://ijwph.ir/article-1-1031-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- College of Medicine, University of Anbar, Ramadi, Iraq
2- College of Medicine, University of Baghdad, Baghdad, Iraq
3- Department of Vascular Surgery, Ghazi Al-Harery Hospital for Medical Specialties, Baghdad, Iraq
* Corresponding Author Address: College of Medicine, University of Anbar, Iraq (med.basam.sug@uoanbar.edu.iq)
Abstract   (1434 Views)
Aims: Lower extremity amputations are increasingly frequent in people with arterial insufficiency, becoming an important public health problem in Iraq and worldwide. This study aimed to evaluate the impact of revascularization of the lower limb with critical ischemia by peripheral angioplasty on improving the patient's life.
Materials & Methods: This experimental study was conducted in patients with lower limb ischemia in Al-Shaheed Ghazzi Al-Hariri Hospital for Surgical Specialties in Baghdad, Iraq, from October 2019 to October 2020. One hundred sixteen patients with arterial insufficiency were selected by the purposeful sampling method. A group of patients (55 cases) was selected for peripheral therapeutic intervention. The Chi-Square and Fisher's exact tests were used for data analysis.
Findings: There was a clear improvement in the level of amputation after treatment. High levels of amputation were needed for the control group who did not have a therapeutic intervention, and most of them had amputations above the knee (86.9%).
Conclusion: Peripheral intervention has an important role in improving the level of amputation in patients with critical limb ischemia of the lower extremities and should consider before primary amputation in selected patients.
Keywords:

References
1. Alothman S, Alenazi A, Waitman LR, LeMaster J, Kluding P. Neuropathy and other risk factors for lower extremity amputation in people with diabetes using a clinical data repository system. J Allied Health. 2018;47(3):217-21. [Link]
2. Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Jones KJ, Thompson MM, et al. Lower extremity amputations--a review of global variability in incidence. Diabet Med. 2011;28(10):1144-53. [Link] [DOI:10.1111/j.1464-5491.2011.03279.x] [PMID]
3. Potier L, Roussel R, Marre M, Bjornstad P, Cherney DZ, El Boustany R, et al. Plasma Copeptin and risk of lower-extremity amputation in type 1 and type 2 diabetes. Diabetes Care. 2019;42(12):2290-7. [Link] [DOI:10.2337/dc19-1062] [PMID] [PMCID]
4. Gamba MA, Gotlieb SLD, Pimentel Bergamaschi D, Vianna LAC. Lower extremity amputations in diabetic patients: A case-control study. Revista de Saude Publica. 2004;38:399-404. [Portuguese] [Link] [DOI:10.1590/S0034-89102004000300010] [PMID]
5. Swedish Council on Health Technology Assessment. Peripheral Arterial Disease - Diagnosis and Treatment: A Systematic Review [Internet]. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2008 Nov. SBU Yellow Report No. 187. [Link]
6. Abusaib M, Ahmed M, Nwayyir HA, Alidrisi HA, Al-Abbood M, Al-Bayati A, et al. Iraqi experts consensus on the management of type 2 diabetes/prediabetes in adults. Clin Med Insights Endocrinol Diabetes. 2020;13. [Link] [DOI:10.1177/1179551420942232] [PMID] [PMCID]
7. Barnes JA, Eid MA, Creager MA, Goodney PP. Epidemiology and risk of amputation in patients with diabetes mellitus and peripheral artery disease. Arterioscler Thromb Vasc Biol. 2020;40(8):1808-17. [Link] [DOI:10.1161/ATVBAHA.120.314595] [PMID] [PMCID]
8. Newhall K, Spangler E, Dzebisashvili N, Goodman DC, Goodney P. Amputation rates for patients with diabetes and peripheral arterial disease: the effects of race and region. Ann Vasc Surg. 2016;30:292-8.e1. [Link] [DOI:10.1016/j.avsg.2015.07.040] [PMID] [PMCID]
9. Sidawy AN, Perler BA. Rutherford's vascular surgery and endovascular therapy. Philadelphia: Elsevier; 2019. [Link]
10. Swaminathan A, Vemulapalli S, Patel MR, Jones WS. Lower extremity amputation in peripheral artery disease: improving patient outcomes. Vasc Health Risk Manag. 2014;10:417-24. [Link] [DOI:10.2147/VHRM.S50588] [PMID] [PMCID]
11. Tefera G, Hoch J, Turnipseed WD. Limb-salvage angioplasty in vascular surgery practice. J Vasc Surg. 2005;41(6):988-93. [Link] [DOI:10.1016/j.jvs.2005.03.018] [PMID]
12. Allie DE, Hebert CJ, Lirtzman MD, Wyatt CH, Keller VA, Khan MH, et al. Critical limb ischemia: a global epidemic.A critical analysis of current treatment unmasks the clinical and economic costs of CLI. EuroIntervention. 2005;1(1):75-84. [Link]
13. American Diabetes Association. Peripheral arterial disease in people with diabetes. Diabetes Care. 2003;26(12):3333-41. [Link] [DOI:10.2337/diacare.26.12.3333] [PMID]
14. Jude EB, Oyibo SO, Chalmers N, Boulton AJ. Peripheral arterial disease in diabetic and nondiabetic patients: a comparison of severity and outcome. Diabetes Care. 2001;24(8):1433-7. [Link] [DOI:10.2337/diacare.24.8.1433] [PMID]
15. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA. 2002;287(19):2570-81. [Link] [DOI:10.1001/jama.287.19.2570] [PMID]
16. Ugwu E, Adeleye O, Gezawa I, Okpe I, Enamino M, Ezeani I. Predictors of lower extremity amputation in patients with diabetic foot ulcer: findings from MEDFUN, a multi-center observational study. J Foot Ankle Res. 2019;12:34. [Link] [DOI:10.1186/s13047-019-0345-y] [PMID] [PMCID]
17. Preedy VR. Handbook of disease burdens and quality of life measures. New York: Springer; 2012. pp. 3785-96. [Link]
18. Uloko AE, Musa BM, Ramalan MA, Gezawa ID, Puepet FH, Uloko AT, et al. Prevalence and risk factors for diabetes mellitus in Nigeria: a systematic review and meta-analysis. Diabetes Ther. 2018;9(3):1307-16. [Link] [DOI:10.1007/s13300-018-0441-1] [PMID] [PMCID]
19. American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care. 2013;36 (Suppl 1):S11-66. [Link] [DOI:10.2337/dc13-S011] [PMID] [PMCID]
20. Barn R, Waaijman R, Nollet F, Woodburn J, Bus SA. Predictors of barefoot plantar pressure during walking in patients with diabetes, peripheral neuropathy and a history of ulceration. PLoS One. 2015;10(2):e0117443. [Link] [DOI:10.1371/journal.pone.0117443] [PMID] [PMCID]
21. Tessier D, Avila-Funes JA, Aguilar-Navarro S. Diabetes and changes in functional status of the elderly: A reality?. Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion. 2010;62(4):318-22. [Spanish] [Link]
22. Aronow WS. Peripheral arterial disease of the lower extremities. Arch Med Sci. 2012;8(2):375-88. [Link] [DOI:10.5114/aoms.2012.28568] [PMID] [PMCID]
23. Thiruvoipati T, Kielhorn CE, Armstrong EJ. Peripheral artery disease in patients with diabetes: Epidemiology, mechanisms, and outcomes. World J Diabetes. 2015;6(7):961-9. [Link] [DOI:10.4239/wjd.v6.i7.961] [PMID] [PMCID]
24. Kim PJ, Steinberg JS. Complications of the diabetic foot. Endocrinol Metab Clin North Am. 2013;42(4):833-47. [Link] [DOI:10.1016/j.ecl.2013.08.002] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA