Differentiated approach to treatment of decompensated lower limb ischaemia with the use of the WIFI classification system [Differentsirovannyĭ...
Червиаков И. В., Ха К. Н., Гавриленко А. В., Климов А. Е.
Ангиология и сосудистая хирургия
Т. 25, Вып. 1, С. 9-16
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.33529/angio2019101
Аннотация:
In the present article, the authors substantiate the necessity of subdividing a heterogeneous cohort of patients presenting with Fontaine-Pokrovsky grade IV critical limb ischaemia into subgroups with the aim of making an appropriate therapeutic decision and predicting the outcome. We also translated into the Russian language the WIfI classification system developed by the Society for Vascular Surgery (2014) in order to predict limb loss and feasibility of performing revascularization. This is followed by comments on the classification, accompanied by examples of own clinical case studies. In order to check-up the ability of the SVS WIfI classification system to predict the one-year risk of major amputation in patients with decompensated ischaemia, we carried out a retrospective multicenter study, enrolling a total of 109 patients with unreconstructable stage IV chronic ischaemia. Our primary endpoint was the frequency of major amputation during the first year of follow up. The patient
Ключевые слова:
critical limb ischaemia; limb-threatening ischaemia; WIfI classification
amputation; decision support system; human; ischemia; Kaplan Meier method; limb salvage; lower limb; predictive value; retrospective study; risk assessment; risk factor; time factor; treatment outcome; wound healing; wound infection; Amputation; Decision Support Techniques; Humans; Ischemia; Kaplan-Meier Estimate; Limb Salvage; Lower Extremity; Predictive Value of Tests; Retrospective Studies; Risk Assessment; Risk Factors; Time Factors; Treatment Outcome; Wound Healing; Wound Infection
Язык текста: Русский
ISSN: 1027-6661
Червиаков И. В.
Ха К. Н.
Гавриленко А. В. Александр Васильевич 1950-
Климов А. Е.
Cherviakov I. V.
Kha K. N.
Gavrilenko A. V. Aleksandr Vasilyevich 1950-
Klimov A. E.
Differentiated approach to treatment of decompensated lower limb ischaemia with the use of the WIFI classification system [Differentsirovannyĭ podkhod k lecheniiu dekompensirovannoĭ ishemii nizhnikh konechnosteĭ s ispol'zovaniem sistemnoĭ klassifikatsii WIfI]
Differentiated approach to treatment of decompensated lower limb ischaemia with the use of the WIFI classification system [Differentsirovannyĭ...
Текст визуальный непосредственный
Ангиология и сосудистая хирургия
Российское общество ангиологов и сосудистых хирургов
Т. 25, Вып. 1 С. 9-16
2019
Статья
critical limb ischaemia limb-threatening ischaemia WIfI classification
amputation decision support system human ischemia Kaplan Meier method limb salvage lower limb predictive value retrospective study risk assessment risk factor time factor treatment outcome wound healing wound infection Amputation Decision Support Techniques Humans Ischemia Kaplan-Meier Estimate Limb Salvage Lower Extremity Predictive Value of Tests Retrospective Studies Risk Assessment Risk Factors Time Factors Treatment Outcome Wound Healing Wound Infection
In the present article, the authors substantiate the necessity of subdividing a heterogeneous cohort of patients presenting with Fontaine-Pokrovsky grade IV critical limb ischaemia into subgroups with the aim of making an appropriate therapeutic decision and predicting the outcome. We also translated into the Russian language the WIfI classification system developed by the Society for Vascular Surgery (2014) in order to predict limb loss and feasibility of performing revascularization. This is followed by comments on the classification, accompanied by examples of own clinical case studies. In order to check-up the ability of the SVS WIfI classification system to predict the one-year risk of major amputation in patients with decompensated ischaemia, we carried out a retrospective multicenter study, enrolling a total of 109 patients with unreconstructable stage IV chronic ischaemia. Our primary endpoint was the frequency of major amputation during the first year of follow up. The patient