Factors enhancing risk of limb loss after revascularization
Factors enhancing risk of limb loss after revascularization are:
Infra inguinal bypass using prosthetic material
Bypass below the knee
Use of sub optimal conduit
Poor arterial runoff
Extensive lesion
When these risk factors are noted, anti thrombotic therapy can be intensified by adding either rivaroxaban or warfarin to aspirin. Another option is to give dual antiplatelet therapy. While intensifying therapy, risk of limb loss should be weighed against the potential bleeding risk in each individual. Triple therapy with two antiplatelet agents and one anticoagulant is better avoided in view of high bleeding risk.
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Source: Cardiophile MD - Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Peripheral Interventions Source Type: blogs