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Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone

OBJECTIVE: To compare the results of endovascular therapy for chronic limb-threatening ischemia (CLTI) in patients categorized under the gray and yellow zones of the patient risk, limb severity, and anatomic pattern (PLAN) concept over a 2-year follow-up period. METHODS: Patients who underwent endov...

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Autores principales: Budak, Ali Baran, Altınay, Levent, Günertem, Orhan Eren, Sağlam, Muhammet Sefa, Külahçıoğlu, Emre, Tümer, Naim Boran, Yağız, Betül Keskinkılıç, Terzioğlu, Serdar Gökay, Saba, Tonguç, Özışık, Kanat, Günaydın, Serdar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676071/
https://www.ncbi.nlm.nih.gov/pubmed/38000011
http://dx.doi.org/10.1177/03000605231211768
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author Budak, Ali Baran
Altınay, Levent
Günertem, Orhan Eren
Sağlam, Muhammet Sefa
Külahçıoğlu, Emre
Tümer, Naim Boran
Yağız, Betül Keskinkılıç
Terzioğlu, Serdar Gökay
Saba, Tonguç
Özışık, Kanat
Günaydın, Serdar
author_facet Budak, Ali Baran
Altınay, Levent
Günertem, Orhan Eren
Sağlam, Muhammet Sefa
Külahçıoğlu, Emre
Tümer, Naim Boran
Yağız, Betül Keskinkılıç
Terzioğlu, Serdar Gökay
Saba, Tonguç
Özışık, Kanat
Günaydın, Serdar
author_sort Budak, Ali Baran
collection PubMed
description OBJECTIVE: To compare the results of endovascular therapy for chronic limb-threatening ischemia (CLTI) in patients categorized under the gray and yellow zones of the patient risk, limb severity, and anatomic pattern (PLAN) concept over a 2-year follow-up period. METHODS: Patients who underwent endovascular therapy for peripheral artery disease and presented with CLTI from February 2017 to February 2019 were retrospectively reviewed. The patients were grouped into yellow and gray zones based on the PLAN concept. Preoperative and postoperative walking distances, Rutherford classes, and postoperative target vessel patency rates were recorded and compared between the groups. Follow-up evaluations were performed at 1, 6, 12, and 24 months post-procedure. RESULTS: Of the 387 patients evaluated, the yellow and gray groups comprised 88 patients each. The overall patency rates were similar between the groups (84 (95.45%) vs. 81 (92.05%), respectively). The occlusion-/stenosis-free survival times, amputation-free survival time, and mean survival time were not significantly different. However, the gray group had a significantly higher number of atherectomy interventions (74 vs. 59) and crosser devices used (62 vs. 42). CONCLUSION: Endovascular therapy is an effective treatment option for patients in the gray zone of the PLAN color coding system.
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spelling pubmed-106760712023-11-24 Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone Budak, Ali Baran Altınay, Levent Günertem, Orhan Eren Sağlam, Muhammet Sefa Külahçıoğlu, Emre Tümer, Naim Boran Yağız, Betül Keskinkılıç Terzioğlu, Serdar Gökay Saba, Tonguç Özışık, Kanat Günaydın, Serdar J Int Med Res Observational Study OBJECTIVE: To compare the results of endovascular therapy for chronic limb-threatening ischemia (CLTI) in patients categorized under the gray and yellow zones of the patient risk, limb severity, and anatomic pattern (PLAN) concept over a 2-year follow-up period. METHODS: Patients who underwent endovascular therapy for peripheral artery disease and presented with CLTI from February 2017 to February 2019 were retrospectively reviewed. The patients were grouped into yellow and gray zones based on the PLAN concept. Preoperative and postoperative walking distances, Rutherford classes, and postoperative target vessel patency rates were recorded and compared between the groups. Follow-up evaluations were performed at 1, 6, 12, and 24 months post-procedure. RESULTS: Of the 387 patients evaluated, the yellow and gray groups comprised 88 patients each. The overall patency rates were similar between the groups (84 (95.45%) vs. 81 (92.05%), respectively). The occlusion-/stenosis-free survival times, amputation-free survival time, and mean survival time were not significantly different. However, the gray group had a significantly higher number of atherectomy interventions (74 vs. 59) and crosser devices used (62 vs. 42). CONCLUSION: Endovascular therapy is an effective treatment option for patients in the gray zone of the PLAN color coding system. SAGE Publications 2023-11-24 /pmc/articles/PMC10676071/ /pubmed/38000011 http://dx.doi.org/10.1177/03000605231211768 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Observational Study
Budak, Ali Baran
Altınay, Levent
Günertem, Orhan Eren
Sağlam, Muhammet Sefa
Külahçıoğlu, Emre
Tümer, Naim Boran
Yağız, Betül Keskinkılıç
Terzioğlu, Serdar Gökay
Saba, Tonguç
Özışık, Kanat
Günaydın, Serdar
Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title_full Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title_fullStr Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title_full_unstemmed Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title_short Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone
title_sort evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the plan gray zone
topic Observational Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676071/
https://www.ncbi.nlm.nih.gov/pubmed/38000011
http://dx.doi.org/10.1177/03000605231211768
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