“The renal foot”- angiographic pattern of patients with chronic limb threatening ischemia and end-stage renal disease
AbstractBackgroundPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. Methods. We re...
Saved in:
Published in | Cardiovascular revascularization medicine Vol. 21; no. 1; pp. 118 - 121 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.01.2020
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | AbstractBackgroundPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. Methods. We reviewed lower extremity angiograms of 152 CLTI patients at a single academic medical center from 2011 to 2017 and analyzed them based on the Graziani and Bollinger classification systems. We used these classification systems to evauate for angiographic patterns and arterial disease severity categorized by the presence or absence of ESRD. ResultsThe analysis included 152 CLTI patients (161 angiograms). Patients' mean age was 63.4 ± 11.3 years and 20 (12.4%) patients had ESRD. In our study population, infrapopliteal arterial disease was more severe than femoropopliteal disease. Disease of the arteries providing direct flow to the plantar arch was more severe in ESRD patients compared to non-ESRD patients, evident by higher Graziani Class VII disease (20% vs. 4.9%, p = .03). ESRD patients also had higher rates of concurrent significant stenosis of the posterior tibial and lateral plantar arteries (70% vs. 23%, p < .0001). ConclusionIn people with CLTI, infrapopliteal arteries are more severely affected than proximal femoropopliteal arteries. ESRD patients exhibit a pattern of arterial disease, we termed the “renal foot,” that frequently involves arteries providing direct flow to the plantar arch. |
---|---|
AbstractList | BACKGROUNDPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. METHODSWe reviewed lower extremity angiograms of 152 CLTI patients at a single academic medical center from 2011 to 2017 and analyzed them based on the Graziani and Bollinger classification systems. We used these classification systems to evaluate for angiographic patterns and arterial disease severity categorized by the presence or absence of ESRD. RESULTSThe analysis included 152 CLTI patients (161 angiograms). Patients' mean age was 63.4 ± 11.3 years and 20 (12.4%) patients had ESRD. In our study population, infrapopliteal arterial disease was more severe than femoropopliteal disease. Disease of the arteries providing direct flow to the plantar arch was more severe in ESRD patients compared to non-ESRD patients, evident by higher Graziani Class VII disease (20% vs. 4.9%, p = .03). ESRD patients also had higher rates of concurrent significant stenosis of the posterior tibial and lateral plantar arteries (70% vs. 23%, p < .0001). CONCLUSIONIn people with CLTI, infrapopliteal arteries are more severely affected than proximal femoropopliteal arteries. ESRD patients exhibit a pattern of arterial disease, we termed the "renal foot," that frequently involves arteries providing direct flow to the plantar arch. AbstractBackgroundPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. Methods. We reviewed lower extremity angiograms of 152 CLTI patients at a single academic medical center from 2011 to 2017 and analyzed them based on the Graziani and Bollinger classification systems. We used these classification systems to evauate for angiographic patterns and arterial disease severity categorized by the presence or absence of ESRD. ResultsThe analysis included 152 CLTI patients (161 angiograms). Patients' mean age was 63.4 ± 11.3 years and 20 (12.4%) patients had ESRD. In our study population, infrapopliteal arterial disease was more severe than femoropopliteal disease. Disease of the arteries providing direct flow to the plantar arch was more severe in ESRD patients compared to non-ESRD patients, evident by higher Graziani Class VII disease (20% vs. 4.9%, p = .03). ESRD patients also had higher rates of concurrent significant stenosis of the posterior tibial and lateral plantar arteries (70% vs. 23%, p < .0001). ConclusionIn people with CLTI, infrapopliteal arteries are more severely affected than proximal femoropopliteal arteries. ESRD patients exhibit a pattern of arterial disease, we termed the “renal foot,” that frequently involves arteries providing direct flow to the plantar arch. Patients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. We reviewed lower extremity angiograms of 152 CLTI patients at a single academic medical center from 2011 to 2017 and analyzed them based on the Graziani and Bollinger classification systems. We used these classification systems to evaluate for angiographic patterns and arterial disease severity categorized by the presence or absence of ESRD. The analysis included 152 CLTI patients (161 angiograms). Patients' mean age was 63.4 ± 11.3 years and 20 (12.4%) patients had ESRD. In our study population, infrapopliteal arterial disease was more severe than femoropopliteal disease. Disease of the arteries providing direct flow to the plantar arch was more severe in ESRD patients compared to non-ESRD patients, evident by higher Graziani Class VII disease (20% vs. 4.9%, p = .03). ESRD patients also had higher rates of concurrent significant stenosis of the posterior tibial and lateral plantar arteries (70% vs. 23%, p < .0001). In people with CLTI, infrapopliteal arteries are more severely affected than proximal femoropopliteal arteries. ESRD patients exhibit a pattern of arterial disease, we termed the "renal foot," that frequently involves arteries providing direct flow to the plantar arch. Patients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status. We reviewed lower extremity angiograms of 152 CLTI patients at a single academic medical center from 2011 to 2017 and analyzed them based on the Graziani and Bollinger classification systems. We used these classification systems to evaluate for angiographic patterns and arterial disease severity categorized by the presence or absence of ESRD. The analysis included 152 CLTI patients (161 angiograms). Patients' mean age was 63.4 ± 11.3 years and 20 (12.4%) patients had ESRD. In our study population, infrapopliteal arterial disease was more severe than femoropopliteal disease. Disease of the arteries providing direct flow to the plantar arch was more severe in ESRD patients compared to non-ESRD patients, evident by higher Graziani Class VII disease (20% vs. 4.9%, p = .03). ESRD patients also had higher rates of concurrent significant stenosis of the posterior tibial and lateral plantar arteries (70% vs. 23%, p < .0001). In people with CLTI, infrapopliteal arteries are more severely affected than proximal femoropopliteal arteries. ESRD patients exhibit a pattern of arterial disease, we termed the “renal foot,” that frequently involves arteries providing direct flow to the plantar arch. •CLTI patients had more extensive and severe disease in the infrapopliteal arteries compared to arteries above the knee.•Patients with CLTI and ESRD had more severe disease in the arteries supplying flow to the plantar foot.•ESRD patients exhibit a pattern of disease that frequently involves the posterior tibial and lateral plantar arteries.•If validated, this data can provide valuable information for clinicians formulating optimal revascularization strategies. |
Author | Bae, Jun Ho Shavelle, David M Rowe, Vincent Armstrong, David G Clavijo, Leonardo C Baghdasaryan, Patrick A Yu, Wendy |
Author_xml | – sequence: 1 fullname: Baghdasaryan, Patrick A – sequence: 2 fullname: Bae, Jun Ho – sequence: 3 fullname: Yu, Wendy – sequence: 4 fullname: Rowe, Vincent – sequence: 5 fullname: Armstrong, David G – sequence: 6 fullname: Shavelle, David M – sequence: 7 fullname: Clavijo, Leonardo C |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31575468$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkc-KFDEQxoOsuH_0DURy9NJj0kk6yUWQRVdhwYPrOWTS1dMZu5MxyazMbR_Efbl9EtPMrgcvQkGK4qv6Kr86RychBkDoNSUrSmj3brtyNiW4XbWE6hWpQegzdEaVVA3RTJ3UXAjWKKb0KTrPeUsIk20nX6BTRoUUvFNn6PBw9_tmBJwg2AkPMZaHu_sG27DxcZPsbvQO72wpkAKOw5J6CCXjX76M2I0phiqY_LzGZUxgCwQfNthnN8LsbZ3TYwh9k4vdPJn0PoPN8BI9H-yU4dXje4G-f_p4c_m5uf569eXyw3XjOJWlUYrLri4uOg1rRamUrh04CKt6boVUVMteqpZRTWu1XYMTcnC8c52QHes5u0Bvj3N3Kf7cQy5mruvBNNkAcZ9Nyyo4qTlrq5QfpS7FnBMMZpf8bNPBUGIW6GZrjtDNAt2QGoTWtjePDvv1DP3fpifKVfD-KID6z1sPyWRXMTrofQJXTB_9_xz-HeAmX8nb6QccIG_jPlWy2VCTW0PMt-Xwy92pZkToVrA_1a6tww |
CitedBy_id | crossref_primary_10_1055_s_0040_1710075 crossref_primary_10_1177_17085381221076673 crossref_primary_10_1016_j_diabres_2022_110134 crossref_primary_10_1016_j_avsg_2023_12_102 crossref_primary_10_12968_jowc_2021_30_8_660 crossref_primary_10_1016_j_jvs_2023_07_052 crossref_primary_10_1016_j_avsg_2023_12_106 crossref_primary_10_3390_jcm12175641 crossref_primary_10_1177_1526602820921555 crossref_primary_10_12968_jowc_2023_32_12_805 crossref_primary_10_1177_1526602820963911 crossref_primary_10_1007_s00270_022_03104_3 crossref_primary_10_1016_j_jvs_2022_10_042 |
Cites_doi | 10.1016/j.ejvs.2006.11.022 10.1016/S0002-9149(00)00998-X 10.1161/CIRCULATIONAHA.105.608679 10.1056/NEJMra1615439 10.1016/j.jvs.2015.04.391 10.1016/0021-9150(81)90050-2 10.1016/j.jvs.2014.11.045 10.1046/j.1523-1755.1999.00668.x 10.1160/TH11-06-0422 10.1001/jamainternmed.2018.2436 10.1253/circj.CJ-15-0704 10.1053/ajkd.2001.25194 10.1016/j.jvs.2012.09.035 |
ContentType | Journal Article |
Copyright | 2019 Copyright © 2019. Published by Elsevier Inc. |
Copyright_xml | – notice: 2019 – notice: Copyright © 2019. Published by Elsevier Inc. |
DBID | NPM AAYXX CITATION 7X8 |
DOI | 10.1016/j.carrev.2019.09.001 |
DatabaseName | PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic PubMed |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1878-0938 |
EndPage | 121 |
ExternalDocumentID | 10_1016_j_carrev_2019_09_001 31575468 S1553838919305925 1_s2_0_S1553838919305925 |
Genre | Journal Article |
GroupedDBID | - 0R 1 1- 1B1 1P 1~. 1~5 29B 4.4 457 4G. 53G 5GY 5VS 6PF 7-5 71M 8P AACTN AAEDT AAIAV AAIKJ AAKOC AALMO AALRI AAOAW AAPBV AAQFI AAWTL AAXUO ABBQC ABGSF ABLVK ABMAC ABMZM ABPIF ABPTK ABUDA ABXDB ABYKQ ACDAQ ACGFS ACIUM ACRLP ADALY ADBBV ADEZE ADUVX AEBSH AEHWI AEKER AEVXI AFCTW AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AIEXJ AIKHN AITUG AJBFU AJOXV AJRQY AJUYK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX BKOJK BLXMC BNPGV CS3 DOVZS EBS EFJIC EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FIRID FNPLU FO G- G-Q GBLVA HVGLF HZ IHE IPNFZ J1W K KOM LCYCR M M41 MO0 N9A O-L O9- OA OAUVE OL0 OZT P-8 P-9 P2P PC. Q38 RIG ROL RPZ SDF SDG SEL SES SEW SPCBC SSH SSU SSZ T5K Z5R --- --K --M .1- .FO .~1 0R~ 1P~ 8P~ AAEDW ABJNI ADMUD AXJTR EFLBG FYGXN HZ~ OA~ ~G- AKRWK NPM AAXKI AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c417t-88476037569eb81177c2f4e5a8d4a578197d78231914e52bec57fc46c65763d43 |
IEDL.DBID | .~1 |
ISSN | 1553-8389 |
IngestDate | Fri Aug 16 11:18:12 EDT 2024 Thu Sep 12 17:40:34 EDT 2024 Thu May 23 23:46:41 EDT 2024 Fri Feb 23 02:41:22 EST 2024 Thu Aug 18 17:17:31 EDT 2022 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Keywords | Peripheral artery disease Critical limb ischemia End stage renal disease Chronic limb threatening ischemia Amputation |
Language | English |
License | Copyright © 2019. Published by Elsevier Inc. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c417t-88476037569eb81177c2f4e5a8d4a578197d78231914e52bec57fc46c65763d43 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 31575468 |
PQID | 2300179432 |
PQPubID | 23479 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_2300179432 crossref_primary_10_1016_j_carrev_2019_09_001 pubmed_primary_31575468 elsevier_sciencedirect_doi_10_1016_j_carrev_2019_09_001 elsevier_clinicalkeyesjournals_1_s2_0_S1553838919305925 |
PublicationCentury | 2000 |
PublicationDate | 2020-01-01 |
PublicationDateYYYYMMDD | 2020-01-01 |
PublicationDate_xml | – month: 01 year: 2020 text: 2020-01-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Cardiovascular revascularization medicine |
PublicationTitleAlternate | Cardiovasc Revasc Med |
PublicationYear | 2020 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Franz, Zheng, Leeper, Chandra, Montez-Rath, Chang (bb0010) 2018; 178 Aboyans, Criqui, Denenberg (bb0065) 2006; 113 Bollinger, Breddin, Hess (bb0060) 1981; 38 Henry, Hevelone, Hawkins (bb0025) 2013; 57 Matsukura, Hoshina, Shigematsu (bb0040) 2016; 80 Eggers, Gohdes, Pugh (bb0005) 1999; 56 Reddan, Marcus, Owen (bb0050) 2001; 38 Ocak, Vossen, Rotmans (bb0035) 2001; 106 Armstrong, Boulton, Bus (bb0015) 2017; 376 Azar, Prpic, Ho (bb0030) 2000; 86 Vierthaler, Callas, Goodney (bb0045) 2015; 62 Zhan, Branco, Armstrong, Mills (bb0020) 2015; 61 Graziani, Silvestro, Bertone (bb0055) 2007; 33 Reddan (10.1016/j.carrev.2019.09.001_bb0050) 2001; 38 Armstrong (10.1016/j.carrev.2019.09.001_bb0015) 2017; 376 Ocak (10.1016/j.carrev.2019.09.001_bb0035) 2001; 106 Franz (10.1016/j.carrev.2019.09.001_bb0010) 2018; 178 Henry (10.1016/j.carrev.2019.09.001_bb0025) 2013; 57 Azar (10.1016/j.carrev.2019.09.001_bb0030) 2000; 86 Matsukura (10.1016/j.carrev.2019.09.001_bb0040) 2016; 80 Graziani (10.1016/j.carrev.2019.09.001_bb0055) 2007; 33 Vierthaler (10.1016/j.carrev.2019.09.001_bb0045) 2015; 62 Bollinger (10.1016/j.carrev.2019.09.001_bb0060) 1981; 38 Zhan (10.1016/j.carrev.2019.09.001_bb0020) 2015; 61 Aboyans (10.1016/j.carrev.2019.09.001_bb0065) 2006; 113 Eggers (10.1016/j.carrev.2019.09.001_bb0005) 1999; 56 |
References_xml | – volume: 38 start-page: 57 year: 2001 end-page: 63 ident: bb0050 article-title: Long-term outcomes of revascularization for peripheral vascular disease in end-stage renal disease patients publication-title: Am J Kidney Dis contributor: fullname: Owen – volume: 178 start-page: 1025 year: 2018 end-page: 1032 ident: bb0010 article-title: Trends in rates of lower extremity amputation among patients with end-stage renal disease who receive dialysis publication-title: JAMA Intern Med contributor: fullname: Chang – volume: 106 start-page: 1046 year: 2001 end-page: 1052 ident: bb0035 article-title: Venous and arterial thrombosis in dialysis patients publication-title: Thromb Haemost contributor: fullname: Rotmans – volume: 376 start-page: 2367 year: 2017 end-page: 2375 ident: bb0015 article-title: Diabetic foot ulcers and their recurrence publication-title: N Engl J Med contributor: fullname: Bus – volume: 62 start-page: 655 year: 2015 end-page: 664 ident: bb0045 article-title: Determinants of survival and major amputation after peripheral endovascular intervention for critical limb ischemia publication-title: J Vasc Surg contributor: fullname: Goodney – volume: 86 start-page: 485 year: 2000 end-page: 489 ident: bb0030 article-title: Impact of end-stage renal disease on clinical and angiographic outcomes after coronary stenting publication-title: Am J Cardiol contributor: fullname: Ho – volume: 80 start-page: 235 year: 2016 end-page: 242 ident: bb0040 article-title: Paramalleolar arterial Bollinger score in the era of diabetes and end-stage renal disease–usefulness for predicting operative outcome of critical limb ischemia publication-title: Circ J contributor: fullname: Shigematsu – volume: 56 start-page: 1524 year: 1999 end-page: 1533 ident: bb0005 article-title: Nontraumatic lower extremity amputations in the Medicare end-stage renal disease population publication-title: Kidney Int contributor: fullname: Pugh – volume: 113 start-page: 2623 year: 2006 end-page: 2629 ident: bb0065 article-title: Risk factors for progression of peripheral arterial disease in large and small vessels publication-title: Circulation contributor: fullname: Denenberg – volume: 57 start-page: 784 year: 2013 end-page: 790 ident: bb0025 article-title: Factors predicting resource utilization and survival after major amputation publication-title: J Vasc Surg contributor: fullname: Hawkins – volume: 33 start-page: 453 year: 2007 end-page: 460 ident: bb0055 article-title: Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity publication-title: Eur J Vasc Endovasc Surg contributor: fullname: Bertone – volume: 61 start-page: 939 year: 2015 end-page: 944 ident: bb0020 article-title: The Society for Vascular Surgery lower extremity threatened limb classification system based on Wound, Ischemia, and foot Infection (WIfI) correlates with risk of major amputation and time to wound healing publication-title: J Vasc Surg contributor: fullname: Mills – volume: 38 start-page: 339 year: 1981 end-page: 346 ident: bb0060 article-title: Semiquantitative assessment of lower limb atherosclerosis from routine angiographic images publication-title: Atherosclerosis contributor: fullname: Hess – volume: 33 start-page: 453 year: 2007 ident: 10.1016/j.carrev.2019.09.001_bb0055 article-title: Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity publication-title: Eur J Vasc Endovasc Surg doi: 10.1016/j.ejvs.2006.11.022 contributor: fullname: Graziani – volume: 86 start-page: 485 year: 2000 ident: 10.1016/j.carrev.2019.09.001_bb0030 article-title: Impact of end-stage renal disease on clinical and angiographic outcomes after coronary stenting publication-title: Am J Cardiol doi: 10.1016/S0002-9149(00)00998-X contributor: fullname: Azar – volume: 113 start-page: 2623 year: 2006 ident: 10.1016/j.carrev.2019.09.001_bb0065 article-title: Risk factors for progression of peripheral arterial disease in large and small vessels publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.105.608679 contributor: fullname: Aboyans – volume: 376 start-page: 2367 year: 2017 ident: 10.1016/j.carrev.2019.09.001_bb0015 article-title: Diabetic foot ulcers and their recurrence publication-title: N Engl J Med doi: 10.1056/NEJMra1615439 contributor: fullname: Armstrong – volume: 62 start-page: 655 year: 2015 ident: 10.1016/j.carrev.2019.09.001_bb0045 article-title: Determinants of survival and major amputation after peripheral endovascular intervention for critical limb ischemia publication-title: J Vasc Surg doi: 10.1016/j.jvs.2015.04.391 contributor: fullname: Vierthaler – volume: 38 start-page: 339 year: 1981 ident: 10.1016/j.carrev.2019.09.001_bb0060 article-title: Semiquantitative assessment of lower limb atherosclerosis from routine angiographic images publication-title: Atherosclerosis doi: 10.1016/0021-9150(81)90050-2 contributor: fullname: Bollinger – volume: 61 start-page: 939 year: 2015 ident: 10.1016/j.carrev.2019.09.001_bb0020 article-title: The Society for Vascular Surgery lower extremity threatened limb classification system based on Wound, Ischemia, and foot Infection (WIfI) correlates with risk of major amputation and time to wound healing publication-title: J Vasc Surg doi: 10.1016/j.jvs.2014.11.045 contributor: fullname: Zhan – volume: 56 start-page: 1524 year: 1999 ident: 10.1016/j.carrev.2019.09.001_bb0005 article-title: Nontraumatic lower extremity amputations in the Medicare end-stage renal disease population publication-title: Kidney Int doi: 10.1046/j.1523-1755.1999.00668.x contributor: fullname: Eggers – volume: 106 start-page: 1046 year: 2001 ident: 10.1016/j.carrev.2019.09.001_bb0035 article-title: Venous and arterial thrombosis in dialysis patients publication-title: Thromb Haemost doi: 10.1160/TH11-06-0422 contributor: fullname: Ocak – volume: 178 start-page: 1025 year: 2018 ident: 10.1016/j.carrev.2019.09.001_bb0010 article-title: Trends in rates of lower extremity amputation among patients with end-stage renal disease who receive dialysis publication-title: JAMA Intern Med doi: 10.1001/jamainternmed.2018.2436 contributor: fullname: Franz – volume: 80 start-page: 235 year: 2016 ident: 10.1016/j.carrev.2019.09.001_bb0040 article-title: Paramalleolar arterial Bollinger score in the era of diabetes and end-stage renal disease–usefulness for predicting operative outcome of critical limb ischemia publication-title: Circ J doi: 10.1253/circj.CJ-15-0704 contributor: fullname: Matsukura – volume: 38 start-page: 57 year: 2001 ident: 10.1016/j.carrev.2019.09.001_bb0050 article-title: Long-term outcomes of revascularization for peripheral vascular disease in end-stage renal disease patients publication-title: Am J Kidney Dis doi: 10.1053/ajkd.2001.25194 contributor: fullname: Reddan – volume: 57 start-page: 784 year: 2013 ident: 10.1016/j.carrev.2019.09.001_bb0025 article-title: Factors predicting resource utilization and survival after major amputation publication-title: J Vasc Surg doi: 10.1016/j.jvs.2012.09.035 contributor: fullname: Henry |
SSID | ssj0037267 |
Score | 2.294076 |
Snippet | AbstractBackgroundPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those... Patients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. We... BACKGROUNDPatients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI... |
SourceID | proquest crossref pubmed elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 118 |
SubjectTerms | Amputation Cardiovascular Chronic limb threatening ischemia Critical limb ischemia End stage renal disease Peripheral artery disease |
Title | “The renal foot”- angiographic pattern of patients with chronic limb threatening ischemia and end-stage renal disease |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S1553838919305925 https://dx.doi.org/10.1016/j.carrev.2019.09.001 https://www.ncbi.nlm.nih.gov/pubmed/31575468 https://search.proquest.com/docview/2300179432 |
Volume | 21 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bS-UwEA6iIPuy6LoXXVci-BpPLzlJ83hwPRxdFVkVfAtpO9UKtmKPPuyD-EP0z_lLdqZpRRFZ2LcSUtJmJnPJfDPD2EaoY6USZ4SELBYyN6EwKnICUJ3lUhWu8NU-D9TkRO6eDk9n2FafC0Owyk72e5neSutuZNDt5uCqLAdH1PEmoTCbQZ41ESWaS1RGyNObd88wj1hHbRdZmixodp8-12K8MoLD3hLAy2z6wpXvqaf3zM9WDY0X2MfOfuQj_4mLbAaqT2x-v4uQL7E_T_cPSHr-G2jauK6nT_ePXPBRdVb66tRlxg_bopoVrwt6pIzIhtOFLO9K5fK98jLlx-dkUAJdnPAddILhsnTcVTnfrnKBRupZv8pPH-T5zE7G28dbE9H1VxCZDPVUJKiZFPXAVQZSSjjVWVRIGLoklw5Pcmh0rilMaEIcjZDaQ11kUmUKnZQ4l_EXNlvVFXxjHJI4gMQFRWZSaVzuhoHUAK5IHaBMjZaZ6LfVXvkyGrbHl11YTwZLZLCBIZjdMtP93ts-RRSFGjTdCWtsaJvIBvYNF7x88xUjWdQR_1hzvSeyxTNGgRNXQX3TWHTTWsFF__HVU__5L-IQDV6pkpX_Xvc7-xCRE9_e66yy2en1DfxAS2earrWsvMbmRju_Jgd_AdAb_UQ |
link.rule.ids | 315,786,790,4521,24144,27957,27958,45620,45714 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwELYolVouqA8o0JcrcTWbh2PHR0RZLe2CqrJI3CwnmdAgkSCycOCA-CH0z_FLOhMnqFWFKvUWWY6ceMbz8Hwzw9hmqGOlUmeEhDwWsjChMCpyAlCdFVKVrvTVPg_U5Eh-OU6OF9jOkAtDsMpe9nuZ3knrfmTU7-bovKpGh9TxJqUwm0GeNVHyhD0lc576N2zdPOA8Yh11bWRptqDpQ_5cB_LKCQ97RQgvs-UrVz6mnx6zPzs9NH7BlnsDkm_7b3zJFqB-xZ7t9yHy1-z6_vYOac-_A00bN838_vYnF3y7Pql8eeoq59-6qpo1b0p6pJTIltONLO9r5fJpdZbx2Q-yKIFuTvgeesFwVjnu6oLv1oVAK_VkWOWzj_KssKPx7mxnIvoGCyKXoZ6LFFWToia4ykBGGac6j0oJiUsL6fAoh0YXmuKEJsTRCMmd6DKXKlfopcSFjFfZYt3UsMY4pHEAqQvK3GTSuMIlgdQArswcoFCN1pkYttWe-zoadgCYnVpPBktksIEhnN0608Pe2yFHFKUatP0Ra21o28gG9i82-P3NPzjJopL4x5qfBiJbPGQUOXE1NJetRT-tk1z0H2889R_-Ig7R4pUq3fjvdT-y55PZ_tRO9w6-vmVLEXn03SXPO7Y4v7iE92j2zLMPHVv_Apnc_tY |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%22The+Renal+Foot%22+-+Angiographic+Pattern+of+Patients+with+Chronic+Limb+Threatening+Ischemia+and+End-Stage+Renal+Disease&rft.jtitle=Cardiovascular+revascularization+medicine&rft.au=Baghdasaryan%2C+Patrick+A&rft.au=Bae%2C+Jun+Ho&rft.au=Yu%2C+Wendy&rft.au=Rowe%2C+Vincent&rft.date=2020-01-01&rft.eissn=1878-0938&rft.volume=21&rft.issue=1&rft.spage=118&rft.epage=121&rft_id=info:doi/10.1016%2Fj.carrev.2019.09.001&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1553-8389&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1553-8389&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1553-8389&client=summon |