IMPACT OF HEART FAILURE ON THE EVOLUTION OF LOWER LIMB REVASCULARIZATION
DOI:
https://doi.org/10.56238/levv16n55-105Keywords:
Peripheral Arterial Disease, Heart Failure, Vascular Surgical Procedures, Limb SalvageAbstract
Introduction: Heart failure is increasingly recognized as a major determinant of perioperative and long-term outcomes in patients undergoing lower limb revascularization for peripheral arterial disease, particularly due to its effects on hemodynamics, microvascular perfusion, and systemic inflammation.
Objective: The main objective of this systematic review was to evaluate how heart failure influences clinical, functional, and limb-related outcomes after lower limb revascularization; secondary objectives included assessing perioperative risk, graft patency, amputation rates, readmissions, and mortality.
Methods: A systematic search was performed across PubMed, Scopus, Web of Science, Cochrane Library, LILACS, ClinicalTrials.gov, and ICTRP using predefined criteria, selecting clinical studies from the last five years evaluating adults with heart failure undergoing open or endovascular revascularization.
Results and Discussion: A total of 18 studies met inclusion criteria, demonstrating that heart failure consistently worsens survival, increases perioperative complications, and is associated with reduced limb salvage compared with patients without heart failure.
Conclusion: Heart failure substantially impacts revascularization outcomes, underscoring the importance of risk stratification, optimized medical therapy, and multidisciplinary care.
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References
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