PMID- 34695554
OWN - NLM
STAT- MEDLINE
DCOM- 20220426
LR  - 20220508
IS  - 1097-6809 (Electronic)
IS  - 0741-5214 (Linking)
VI  - 75
IP  - 5
DP  - 2022 May
TI  - Physical and psychological functioning of patients with chronic limb ischemia 
      during a 1-year period after endovascular revascularization.
PG  - 1679-1686
LID - S0741-5214(21)02338-7 [pii]
LID - 10.1016/j.jvs.2021.10.021 [doi]
AB  - OBJECTIVE: Symptoms of peripheral artery disease (PAD) and patients' physical and 
      psychological status are related in a vicious circle. The aim of this study was 
      to determine the relationships between improvement in parameters of PAD after 
      endovascular procedures and changes in patients' physical and psychological 
      status. METHODS: We studied 140 consecutive patients with PAD: 50 patients with 
      chronic limb-threatening ischemia (CLTI), 50 patients with intermittent 
      claudication (IC) undergoing an endovascular procedure, and 40 patients with IC 
      who were not qualified for leg revascularization. All participating patients were 
      assessed at the beginning of the study and at 3 and 12 months of follow-up; 
      scores taken included ankle-brachial index, 6-minute walking test distance, 
      Barthel Index, activities of daily living index, instrumental activities of daily 
      living (IADL) index, Mini-Mental State Examination, and Hospital Anxiety and 
      Depression Scale. RESULTS: After 12 months of follow-up, an improvement in 
      PAD-related symptoms following leg revascularization had been maintained in 56% 
      of the patients with CLTI and in 68% of those with IC. Twelve months after 
      endovascular leg revascularization, the scores in respect of activities of daily 
      living, IADL, and Mini-Mental State Examination had increased, and scores for 
      Hospital Anxiety and Depression Scale had decreased in patients with both CLTI 
      and IC. A higher baseline score in the IADL index was associated with a reduction 
      in the 1-year cardiovascular event risk (odds ratio, 95% confidence interval, 
      0.70; 0.54-0.91; P < .01). CONCLUSIONS: In patients with PAD, endovascular 
      procedures not only improved PAD-related symptoms, but also ameliorated patients' 
      physical state, improved cognitive function, and reduced depression.
CI  - Copyright (c) 2021 Society for Vascular Surgery. Published by Elsevier Inc. All 
      rights reserved.
FAU - Banas, Wioletta
AU  - Banas W
AD  - Department of Vascular and Internal Diseases, Nicolaus Copernicus University in 
      Torun, Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.
FAU - Czerniak, Beata
AU  - Czerniak B
AD  - Department of Vascular and Internal Diseases, Nicolaus Copernicus University in 
      Torun, Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.
FAU - Budzynski, Jacek
AU  - Budzynski J
AD  - Department of Vascular and Internal Diseases, Nicolaus Copernicus University in 
      Torun, Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland. Electronic address: 
      budz@cps.pl.
LA  - eng
PT  - Journal Article
DEP - 20211022
PL  - United States
TA  - J Vasc Surg
JT  - Journal of vascular surgery
JID - 8407742
SB  - IM
MH  - Activities of Daily Living
MH  - *Arterial Occlusive Diseases
MH  - *Endovascular Procedures/adverse effects
MH  - Humans
MH  - Intermittent Claudication/diagnosis/therapy
MH  - Ischemia/diagnosis/surgery
MH  - *Peripheral Arterial Disease/diagnosis/surgery
MH  - Risk Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Endovascular procedure
OT  - Functional assessment
OT  - Peripheral artery disease
OT  - Physical status
OT  - Psychological status
EDAT- 2021/10/26 06:00
MHDA- 2022/04/27 06:00
CRDT- 2021/10/25 20:13
PHST- 2021/05/21 00:00 [received]
PHST- 2021/10/01 00:00 [accepted]
PHST- 2021/10/26 06:00 [pubmed]
PHST- 2022/04/27 06:00 [medline]
PHST- 2021/10/25 20:13 [entrez]
AID - S0741-5214(21)02338-7 [pii]
AID - 10.1016/j.jvs.2021.10.021 [doi]
PST - ppublish
SO  - J Vasc Surg. 2022 May;75(5):1679-1686. doi: 10.1016/j.jvs.2021.10.021. Epub 2021 
      Oct 22.