Endovascular surgery is a form of minimally invasive surgery to access and treat many arteries in the body.
The complication rate associated with amputation is 20-37% which is considerably higher than the 17% average for vascular surgery and the average of 5-9 % associated with endovascular surgery.
After amputation, only 18-24% of patients are discharged to home. In contrast after endovascular surgery almost 2/3 of patients are routinely discharged home; 60–80 % are unable to walk after amputation whereas after endovascular surgery at 2 years, 80% are walking and almost 90% are living independently.
The two-year mortality rate is 30-50% with amputation compared to 16-24% after endovascular surgery.
Cost of Amputation
Treating CLI patients with primary amputation is not only undesirable for the patient but is not cost-effective and economically represents a misallocation of healthcare resources.