<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702022000600003</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00432</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evolución y protetización de las amputaciones mayores en pacientes con enfermedad arterial periférica de nuestro centro]]></article-title>
<article-title xml:lang="en"><![CDATA[Outcomes and prosthesis procedure of major amputations in patients with peripheral arterial disease in our center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mondragón-Zamora]]></surname>
<given-names><![CDATA[Jennifer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-de Dicastillo]]></surname>
<given-names><![CDATA[Blanca Pilar Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Nistal]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Concepción-Rodríguez]]></surname>
<given-names><![CDATA[Nieves Aleicel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zafra-Angulo]]></surname>
<given-names><![CDATA[Juan David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Turégano]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morillo-Jiménez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Heredero]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario La Paz Servicios de Angiología, Cirugía Vascular y Endovascular ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario La Paz Servicios de Medicina Física y Rehabilitación ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>6</numero>
<fpage>278</fpage>
<lpage>285</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702022000600003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702022000600003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702022000600003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: las amputaciones mayores han disminuido en los últimos años, hasta aproximadamente el 7 % de los pacientes con enfermedad arterial periférica crónica (EAPC). La protetización es un procedimiento complejo e importante para la calidad de vida de los pacientes. Las series publicadas comunican datos muy variables entre ellas.  Objetivo: describir la evolución de los pacientes sometidos a una amputación mayor por EAPC en nuestro centro y su protetización en relación a su estado basal.  Materiales y métodos: estudio descriptivo, retrospectivo y unicéntrico. Recogimos las amputaciones mayores realizadas por nuestro servicio entre 2013 y 2019. Realizamos una búsqueda del registro de pacientes protetizados. Se recogieron las variables sociodemográficas, clínicas, de la intervención, del posoperatorio y de la rehabilitación. Analizamos las variables cualitativas en forma de frecuencias absolutas y porcentajes, los datos cuantitativos mediante la media, la inferencia estadística con el &#967;2 y la supervivencia con análisis actuarial.  Resultados: realizamos 282 amputaciones mayores, de las que el 65,95 % fue en hombres, con una edad media de 71,23 años. El 82,68 % fueron supracondíleas y el 17,32 %, infracondíleas. El 30,85 % tuvieron una amputación menor previa. El 51,06 % habían sido revascularizados previamente. Solo el 37,9 % contaba con una red social adecuada de apoyo. La mediana de supervivencia fue de 24 meses. La mortalidad al año fue del 35 %. El 29,32 % de los pacientes tenía una marcha independiente previa, el 21,22 % no deambulaba y el resto requería ayuda para la marcha. El 28 % (79) de los pacientes fue protetizado, con un uso medio de la prótesis de 15,34 horas al día. El estado de marcha previa se relacionó de manera significativa con la protetización, que consiguió el 49,9 % de los que tenían una marcha independiente frente al 1,69 % de los que no deambulaban (p &lt; 0,001). Del resto de factores analizados tenían una relación estadísticamente significativa con la protetización los siguientes: sexo masculino (p &lt; 0,028), menores de 70 años (p &lt; 0,001), red social adecuada de apoyo (p &lt; 0,001), antecedente de revascularización previa (p &lt; 0,001) y nivel de amputación infracondílea (p &lt; 0,001).  Conclusiones: el porcentaje de protetización de los pacientes sometidos a una amputación mayor es bajo y está relacionado con el estado de deambulación previa, el género, la edad, la red social de apoyo y el nivel de amputación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: a decrease in rate of mayor amputation has been reported over the last years; approximately 7 % of patients with chronic peripheral arterial disease (PAD). Implant a prosthesis is a complex and important procedure for the patients´ quality of life. The journals shown different data between them.  Objective: to describe the evolution of patients undergoing a major amputation due to PAD in our center and their prosthesis procedure in relation to their baseline status.  Materials and methods: descriptive, retrospective and single center study. We collected all major amputations performed by our department between 2013 to 2019. We searched the registry of patients with prosthesis. Sociodemographic, clinical, intervention, postoperative and rehabilitation variables were collected. We analyzed the qualitative variables in the form of absolute frequencies and percentages, the quantitative data through the mean, the statistical inference with the chi2 and the survival with actuarial analysis.  Results: we performed 282 major amputations, 65.95 % in men, with a mean age of 71.23 years. 82.68 % were above the knee and 17.32 % below the knee. 30.85 % had a previous minor amputation. 51.06 % had been previously revascularized. Only 37.9 % had an adequate social support. Median survival was 24 months. Mortality at one year was 35 %. 29.32 % of the patients had a previous independent walk, 21.22 % did not walk and the rest required assistance for walking. 28 % (79) of the patients received a prosthesis, with an average use of the prosthesis of 15.34 hours per day. Previous gait status was significantly related to wearing prosthesis, achieved by 49.9 % of those who walked independently versus 1.69 % of those who did not walk (p &lt; 0.001). Of the rest of the factors analyzed, the following had a statistically significant relationship with prosthetic fitting: male gender (p &lt; 0.028), younger than 70 years (p &lt; 0.001), adequate social support (p &lt; 0.001), history of previous revascularization (p &lt; 0.001) and level of amputation (below the knee) (p &lt; 0.001).  Conclusions: the percentage of prosthetics of patients undergoing a major amputation is low and is related to the state of previous ambulation, gender, age, social support and level of amputation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Prótesis]]></kwd>
<kwd lng="es"><![CDATA[Amputación]]></kwd>
<kwd lng="es"><![CDATA[Rehabilitación]]></kwd>
<kwd lng="en"><![CDATA[Prosthesis]]></kwd>
<kwd lng="en"><![CDATA[Amputation]]></kwd>
<kwd lng="en"><![CDATA[Rehabilitation]]></kwd>
</kwd-group>
</article-meta>
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