Tibial scoring as a predictor for amputation-free survival in critical limb ischemic patients | ||
| Journal of the Arab Society for Medical Research | ||
| Volume 19, Issue 2, July 2024, Pages 194-199 PDF (501.87 K) | ||
| DOI: 10.4103/jasmr.jasmr_18_24 | ||
| Abstract | ||
| Background/aim Evaluating the risk of amputation in patients with peripheral arterial disease (PAD) is essential. A critical Limb Ischemic patient (CLI) is known as end stage of PAD. Creating novel approaches to pinpoint high-risk patients would allow for targeted treatments and support specialized clinical trials focused on limb preservation. This study’s objective is to evaluate tibial adversity and scoring for risk of lower extremity amputation in critical limb ischemic patients (CLI). Patients and methods This study is a prospective study carried out on 30 patients with symptomatic lower extremity PAD in Al-Zahraa University Hospital from February 2023 to January 2024 interval. All patients were assessed by hemodynamics study and multislice noncontrast CT and tibial angioplasty according to inclusion and exclusion criteria. The patients followed up at day 1 and 3 and 6 months. Results Patients with CLI exhibited significant high (p < 0.05) tibial artery calcification scores, which were linked to increased limb ischemia levels, with high risk for amputation compared to traditional risk factors. 26 patients were amputation free rate and only 4 patients were done major amputation. Nonmodifiable risk factors correlated with elevated tibial artery calcification scores. Conclusions The present study indicated that tibial scoring independently predicts the risk of lower extremity amputation, even when considering other risk factors in patient with CLI. Increasing calcium scores are associated with greater PAD severity. | ||
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