{"id":24471,"date":"2018-05-26T12:37:11","date_gmt":"2018-05-26T07:07:11","guid":{"rendered":"https:\/\/cardiophile.org\/?p=24471"},"modified":"2018-05-26T12:37:11","modified_gmt":"2018-05-26T07:07:11","slug":"male-major-adverse-limb-events","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/male-major-adverse-limb-events\/","title":{"rendered":"MALE &#8211; Major adverse limb events"},"content":{"rendered":"<h2><span style=\"color: #008000;\">MALE &#8211; Major adverse limb events<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/P9VH9a0bj00\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><br \/>\nMALE &#8211; Major adverse limb events is considered in the setting of peripheral arterial disease and peripheral interventions. It includes major amputation, reintervention which could be surgical or repeat angioplasty. <span style=\"color: #0000ff;\">Major amputation is defined as amputation above the ankle.<\/span> Amputation at the tarsometatarsal level (Lisfranc level) or below is not considered as a failure of limb salvage [1].<\/p>\n<p><span style=\"color: #0000ff;\">Major vascular re-interventions are thrombectomy, thrombolysis or major surgical procedure &#8211; new bypass graft, jump\/interposition graft revision in the index limb<\/span> [2].<\/p>\n<p>In the&nbsp;COMPASS (Cardiovascular Outcomes for People Using Anticoagulation Strategies) trial [3], of the 128 patients who had a MALE, 20.5% had a vascular amputation in 1 year. The risk of hospitalization was 61.5% and that of death 8.3%. These figures underline the significance of MALE in those with limb ischemia.<\/p>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Iida O, Soga Y, Yamauchi Y, Hirano K, Kawasaki D, Tazaki J, Yamaoka T, Suematsu N, Suzuki K, Shintani Y, Miyashita Y, Takahara M, Uematsu M.&nbsp;Anatomical predictors of major adverse limb events after infrapopliteal angioplasty for patients with critical limb ischaemia due to pure isolated infrapopliteal lesions.&nbsp;Eur J Vasc Endovasc Surg. 2012 Sep;44(3):318-24.<\/li>\n<li>Conte MS.&nbsp;Understanding objective performance goals for critical limb ischemia trials.&nbsp;Semin Vasc Surg. 2010 Sep;23(3):129-37.<\/li>\n<li>Anand SS, Caron F, Eikelboom JW, Bosch J, Dyal L, Aboyans V, Abola MT, Branch KRH, Keltai K, Bhatt DL, Verhamme P, Fox KAA, Cook-Bruns N, Lanius V, Connolly SJ, Yusuf S.&nbsp;Major Adverse Limb Events and Mortality in Patients With Peripheral Artery Disease: The COMPASS Trial.&nbsp;J Am Coll Cardiol. 2018 May 22;71(20):2306-2315.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>MALE &#8211; Major adverse limb events is considered in the setting of peripheral arterial disease and peripheral interventions. It includes major amputation, reintervention which could be surgical or repeat angioplasty. Major amputation is defined as amputation above the ankle. <\/p>\n","protected":false},"author":1,"featured_media":40210,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,26],"tags":[],"class_list":["post-24471","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-peripheral-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MALE - Major adverse limb events in PAD and interventions<\/title>\n<meta name=\"description\" content=\"MALE - Major adverse limb events is considered in the setting of peripheral arterial disease and peripheral interventions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/male-major-adverse-limb-events\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MALE - Major adverse limb events in PAD and interventions\" \/>\n<meta property=\"og:description\" content=\"MALE - Major adverse limb events is considered in the setting of peripheral arterial disease and peripheral interventions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/male-major-adverse-limb-events\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2018-05-26T07:07:11+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/male-major-adverse-limb-events\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/male-major-adverse-limb-events\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"MALE &#8211; 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