Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore

This study aimed to examine the distribution of lower limb atherosclerotic lesions in a multi-ethnic Asian cohort with chronic limb threatening ischemia (CLTI) from Singapore. The Society for Vascular Surgery Vascular Quality Initiative registry database was used to identify 265 CLTI patients who un...

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Main Authors: Shereen X. Y. Soon, Ankur Patel, Tze Tec Chong, Charyl J. Q. Yap, Hsien Ts'ung Tay, Kiang Hiong Tay, Chandramohan Sivanathan, Tjun Y. Tang
Format: Article
Language:English
Published: Medrang 2021-06-01
Series:Vascular Specialist International
Subjects:
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210016
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author Shereen X. Y. Soon
Ankur Patel
Tze Tec Chong
Charyl J. Q. Yap
Hsien Ts'ung Tay
Kiang Hiong Tay
Chandramohan Sivanathan
Tjun Y. Tang
author_facet Shereen X. Y. Soon
Ankur Patel
Tze Tec Chong
Charyl J. Q. Yap
Hsien Ts'ung Tay
Kiang Hiong Tay
Chandramohan Sivanathan
Tjun Y. Tang
author_sort Shereen X. Y. Soon
collection DOAJ
description This study aimed to examine the distribution of lower limb atherosclerotic lesions in a multi-ethnic Asian cohort with chronic limb threatening ischemia (CLTI) from Singapore. The Society for Vascular Surgery Vascular Quality Initiative registry database was used to identify 265 CLTI patients who underwent percutaneous angioplasty between June 2019 and December 2019, of whom 171 (64.5%) were male, and the mean age was 67.9±11.0 years. The majority were diabetic (84.5%) and 145 (54.7%) had chronic kidney disease (CKD). The majority of the lower limb atherosclerotic lesions were de novo lesions (598/797, 75.0%), predominantly TransAtlantic Inter-Society Consensus II C/D (451/797, 56.6%), and were moderately to severely calcified (76.3%). The anterior tibial artery and femoral-popliteal artery were the most commonly affected vessels. The mean length of the treated lesions was 14.5±13.7 cm. There was a tendency, albeit insignificant, of multi-level disease in those who were diabetic or had CKD.
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spelling doaj.art-7c0f008dae3141bc919a7f9531005cb42023-01-06T01:29:34ZengMedrangVascular Specialist International2288-79702288-79892021-06-013710.5758/vsi.210016vsi.210016Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in SingaporeShereen X. Y. Soon0Ankur Patel1Tze Tec Chong2Charyl J. Q. Yap3Hsien Ts'ung TayKiang Hiong Tay4Chandramohan Sivanathan5Tjun Y. Tang6Department of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeThis study aimed to examine the distribution of lower limb atherosclerotic lesions in a multi-ethnic Asian cohort with chronic limb threatening ischemia (CLTI) from Singapore. The Society for Vascular Surgery Vascular Quality Initiative registry database was used to identify 265 CLTI patients who underwent percutaneous angioplasty between June 2019 and December 2019, of whom 171 (64.5%) were male, and the mean age was 67.9±11.0 years. The majority were diabetic (84.5%) and 145 (54.7%) had chronic kidney disease (CKD). The majority of the lower limb atherosclerotic lesions were de novo lesions (598/797, 75.0%), predominantly TransAtlantic Inter-Society Consensus II C/D (451/797, 56.6%), and were moderately to severely calcified (76.3%). The anterior tibial artery and femoral-popliteal artery were the most commonly affected vessels. The mean length of the treated lesions was 14.5±13.7 cm. There was a tendency, albeit insignificant, of multi-level disease in those who were diabetic or had CKD.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210016angioplastyperipheral arterial diseaselower extremityischemiasingapore
spellingShingle Shereen X. Y. Soon
Ankur Patel
Tze Tec Chong
Charyl J. Q. Yap
Hsien Ts'ung Tay
Kiang Hiong Tay
Chandramohan Sivanathan
Tjun Y. Tang
Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
Vascular Specialist International
angioplasty
peripheral arterial disease
lower extremity
ischemia
singapore
title Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
title_full Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
title_fullStr Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
title_full_unstemmed Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
title_short Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore
title_sort distribution of peripheral arterial disease in patients undergoing endovascular revascularization for chronic limb threatening ischaemia insights from the vascular quality initiative in singapore
topic angioplasty
peripheral arterial disease
lower extremity
ischemia
singapore
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210016
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