Bilateral low systolic toe pressure and toe-brachial index are associated with long-term mortality in patients with peripheral artery disease

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dc.contributor.author Wickström, Jan-Erik
dc.contributor.author Virtanen, Juha
dc.contributor.author Aro, Ellinoora
dc.contributor.author Jalkanen, Juho
dc.contributor.author Venermo, Maarit
dc.contributor.author Hakovirta, Harri
dc.date.accessioned 2020-12-31T04:08:40Z
dc.date.available 2021-12-18T03:45:29Z
dc.date.issued 2019-12
dc.identifier.citation Wickström , J-E , Virtanen , J , Aro , E , Jalkanen , J , Venermo , M & Hakovirta , H 2019 , ' Bilateral low systolic toe pressure and toe-brachial index are associated with long-term mortality in patients with peripheral artery disease ' , Journal of Vascular Surgery , vol. 70 , no. 6 , pp. 1994-2004 . https://doi.org/10.1016/j.jvs.2019.03.073
dc.identifier.other PURE: 130017970
dc.identifier.other PURE UUID: c6ca8d24-63ce-466b-a8b3-ad9d8dec4c40
dc.identifier.other WOS: 000497990300042
dc.identifier.uri http://hdl.handle.net/10138/323902
dc.description.abstract Objective: Based on our previous reports, ipsilateral systolic toe pressure (STP) and toe-brachial index (TBI) have a strong association with midterm cardiovascular and overall mortality as well as with amputation-free survival in patients with symptomatic lower extremity peripheral artery disease (PAD). The effect of the often overlooked contralateral lower limb on patient outcome remains unknown. This study aimed to resolve the significance of contralateral STP (CL_STP) and contralateral TBI for long-term overall and cardiovascular mortality. Methods: This is a retrospective cohort study of 727 consecutive patients with symptomatic lower extremity PAD. All patients admitted to the Department of Vascular Surgery at Turku University Hospital for digital subtraction angiography between January 2009 and August 2011 and for whom STP measurements were available were recruited and observed for up to 7 years. Dates and causes of death were collected from the national cause of death registry of Statistics Finland. Results: In the study cohort, STP was Conclusions: Low STP and TBI of both contralateral and ipsilateral lower extremities are associated with high cardiovascular and overall mortality in symptomatic PAD patients. Bilaterally low STP and TBI are associated with a particularly poor prognosis. en
dc.format.extent 11
dc.language.iso eng
dc.relation.ispartof Journal of Vascular Surgery
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Contralateral lower extremity
dc.subject Toe pressure
dc.subject Toe-brachial index
dc.subject Mortality
dc.subject Peripheral artery disease
dc.subject INTER-SOCIETY CONSENSUS
dc.subject PREDICTS INCREASED RISK
dc.subject DIGITAL BLOOD-PRESSURE
dc.subject CARDIOVASCULAR-DISEASE
dc.subject ISCHEMIC LEG
dc.subject FOLLOW-UP
dc.subject DIAGNOSIS
dc.subject OUTCOMES
dc.subject RELIABILITY
dc.subject PREVALENCE
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Bilateral low systolic toe pressure and toe-brachial index are associated with long-term mortality in patients with peripheral artery disease en
dc.type Article
dc.contributor.organization HUS Abdominal Center
dc.contributor.organization Verisuonikirurgian yksikkö
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.jvs.2019.03.073
dc.relation.issn 0741-5214
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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