Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication
ObjectiveThe aim of this study is to compare the quality-of-life (QOL) outcomes and the tibio-pedal arterial pressure post-endovascular intervention.BackgroundPhysiological assessment of peripheral arterial lesions is infrequently performed during endovascular interventions.Materials and methodsWe r...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1038353/full |
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| author | Tak W. Kwan Tak W. Kwan Samuel Lee Patricia Lin Michael Liou Henry Siu Henry Siu Apurva Patel Apurva Patel Zoltan Ruzsa |
| author_facet | Tak W. Kwan Tak W. Kwan Samuel Lee Patricia Lin Michael Liou Henry Siu Henry Siu Apurva Patel Apurva Patel Zoltan Ruzsa |
| author_sort | Tak W. Kwan |
| collection | DOAJ |
| description | ObjectiveThe aim of this study is to compare the quality-of-life (QOL) outcomes and the tibio-pedal arterial pressure post-endovascular intervention.BackgroundPhysiological assessment of peripheral arterial lesions is infrequently performed during endovascular interventions.Materials and methodsWe retrospectively reviewed all 343 patients with intermittent claudication who underwent an endovascular intervention via tibio-pedal artery access from October 2018 to May 2021. The baseline and post-intervention tibio-pedal arterial pressures from the pedal sheaths were measured. QOL was assessed using a pre-validated Walking Impairment Questionnaire (WIQ) score before and at 30-day after intervention. We compared the baseline tibio-pedal arterial pressure, post-intervention tibio-pedal arterial pressure, delta pressure (post-intervention minus baseline), baseline WIQ scores, 30-day WIQ scores, and delta score (30-day minus baseline).ResultsAll 343 patients had successful tibio-pedal accesses. The average tibio-pedal arterial pressure at baseline was 87.0 ± 1.8 mmHg vs. 135.5 ± 1.7 mmHg post-intervention (p < 0.001). Average baseline and 30-day WIQ scores were summation (99.8 ± 3.3 vs. 115.0 ± 3.1, p < 0.001), walking distance (35.7 ± 1.3 vs. 42.5 ± 1.3, p < 0.001), walking speed (21.1 ± 0.9 vs. 23.6 ± 0.8, p = 0.036), stair climbing (4.7 ± 1.4 vs. 24.2 ± 1.4, p = 0.019), and symptoms (18.8 ± 0.2 vs. 20.1 ± 0.2, p < 0.001), respectively. When comparing the increased post-intervention tibio-pedal arterial pressure <60 mmHg vs. ≥60 mmHg, the average delta WIQ scores were all significantly improved with summation (10.0 ± 3.9 to 25.8 ± 5.5, p = 0.01), walking distance (4.1 ± 1.7 to 9.8 ± 2.5, p = 0.02), walking speed (1.5 ± 1.1 to 4.3 ± 1.5, p = 0.02), stair climbing (2.3 ± 1.8 to 9.4 ± 2.5, p = 0.02), and symptoms (1.0 ± 0.3 to 1.8 ± 0.4, p = 0.04), respectively.ConclusionIncreasing the post-intervention tibio-pedal arterial pressure by 60 mmHg can enhance QOL as suggested by improvement of WIQ scores. |
| first_indexed | 2024-04-13T13:49:23Z |
| format | Article |
| id | doaj.art-d21551340dd04910bb6b1003691a0fcb |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-13T13:49:23Z |
| publishDate | 2022-11-01 |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-d21551340dd04910bb6b1003691a0fcb2022-12-22T02:44:24ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10383531038353Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudicationTak W. Kwan0Tak W. Kwan1Samuel Lee2Patricia Lin3Michael Liou4Henry Siu5Henry Siu6Apurva Patel7Apurva Patel8Zoltan Ruzsa9Department of Cardiology, Lenox Health Greenwich Village, Northwell Health, New York, NY, United StatesDepartment of Office-Based-Laboratory, Chinatown Cardiology, P.C., New York, NY, United StatesDepartment of Medicine, Lincoln Memorial University–DeBusk College of Osteopathic Medicine, Harrogate, TN, United StatesDepartment of Medicine, Lake Erie College of Osteopathic Medicine, Elmira, NY, United StatesDepartment of Office-Based-Laboratory, Chinatown Cardiology, P.C., New York, NY, United StatesDepartment of Cardiology, Lenox Health Greenwich Village, Northwell Health, New York, NY, United StatesDepartment of Office-Based-Laboratory, Chinatown Cardiology, P.C., New York, NY, United StatesDepartment of Cardiology, Lenox Health Greenwich Village, Northwell Health, New York, NY, United StatesDepartment of Office-Based-Laboratory, Chinatown Cardiology, P.C., New York, NY, United StatesDepartment of Cardiology, Semmelweis University, Budapest, HungaryObjectiveThe aim of this study is to compare the quality-of-life (QOL) outcomes and the tibio-pedal arterial pressure post-endovascular intervention.BackgroundPhysiological assessment of peripheral arterial lesions is infrequently performed during endovascular interventions.Materials and methodsWe retrospectively reviewed all 343 patients with intermittent claudication who underwent an endovascular intervention via tibio-pedal artery access from October 2018 to May 2021. The baseline and post-intervention tibio-pedal arterial pressures from the pedal sheaths were measured. QOL was assessed using a pre-validated Walking Impairment Questionnaire (WIQ) score before and at 30-day after intervention. We compared the baseline tibio-pedal arterial pressure, post-intervention tibio-pedal arterial pressure, delta pressure (post-intervention minus baseline), baseline WIQ scores, 30-day WIQ scores, and delta score (30-day minus baseline).ResultsAll 343 patients had successful tibio-pedal accesses. The average tibio-pedal arterial pressure at baseline was 87.0 ± 1.8 mmHg vs. 135.5 ± 1.7 mmHg post-intervention (p < 0.001). Average baseline and 30-day WIQ scores were summation (99.8 ± 3.3 vs. 115.0 ± 3.1, p < 0.001), walking distance (35.7 ± 1.3 vs. 42.5 ± 1.3, p < 0.001), walking speed (21.1 ± 0.9 vs. 23.6 ± 0.8, p = 0.036), stair climbing (4.7 ± 1.4 vs. 24.2 ± 1.4, p = 0.019), and symptoms (18.8 ± 0.2 vs. 20.1 ± 0.2, p < 0.001), respectively. When comparing the increased post-intervention tibio-pedal arterial pressure <60 mmHg vs. ≥60 mmHg, the average delta WIQ scores were all significantly improved with summation (10.0 ± 3.9 to 25.8 ± 5.5, p = 0.01), walking distance (4.1 ± 1.7 to 9.8 ± 2.5, p = 0.02), walking speed (1.5 ± 1.1 to 4.3 ± 1.5, p = 0.02), stair climbing (2.3 ± 1.8 to 9.4 ± 2.5, p = 0.02), and symptoms (1.0 ± 0.3 to 1.8 ± 0.4, p = 0.04), respectively.ConclusionIncreasing the post-intervention tibio-pedal arterial pressure by 60 mmHg can enhance QOL as suggested by improvement of WIQ scores.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1038353/fullhemodynamicstibio-pedal accessquality-of-lifepedal pressureclaudicationperipheral arterial disease |
| spellingShingle | Tak W. Kwan Tak W. Kwan Samuel Lee Patricia Lin Michael Liou Henry Siu Henry Siu Apurva Patel Apurva Patel Zoltan Ruzsa Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication Frontiers in Cardiovascular Medicine hemodynamics tibio-pedal access quality-of-life pedal pressure claudication peripheral arterial disease |
| title | Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication |
| title_full | Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication |
| title_fullStr | Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication |
| title_full_unstemmed | Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication |
| title_short | Tibio-pedal arterial pressure assessment during endovascular intervention to improve quality-of-life in patients with intermittent claudication |
| title_sort | tibio pedal arterial pressure assessment during endovascular intervention to improve quality of life in patients with intermittent claudication |
| topic | hemodynamics tibio-pedal access quality-of-life pedal pressure claudication peripheral arterial disease |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1038353/full |
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