Evidence mapPaperPMID 42295162Full record

ArticleVascular medicine (London, England)2026

Sciatic nerve atrophy as a predictor of impaired wound healing in patients with chronic limb-threatening ischemia following endovascular therapy: A prospective pilot study.

Xinzhi Yang, Gong Cheng, Pengyu Li, Ziguang Yan, Bihui Zhang, Kang She, Jue Zhang, Guochen Niu, Min Yang

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Article in Vascular medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Xinzhi YangDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.ORCID 0000-0003-2684-9638
Gong ChengDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Pengyu LiDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Ziguang YanDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Bihui ZhangDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Kang SheDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Jue ZhangAcademy for Advanced Interdisciplinary Studies, Peking University, Beijing, China.
Guochen NiuDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Min YangDepartment of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.ORCID 0000-0002-6597-0206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA prior retrospective single-center study involving patients with chronic limb-threatening ischemia (CLTI) demonstrated that sciatic nerve atrophy (SNA) is associated with impaired wound healing (IWH) and reduced amputation-free survival (AFS). We conducted a prospective single-center pilot study to validate the prognostic implications of SNA in predicting wound healing and AFS.

methodsPatients diagnosed with CLTI and associated tissue loss were recruited for participation in this prospective, noninterventional study. The cross-sectional area (CSA) of the sciatic nerve at the mid-to-lower femoral quarter was quantified utilizing computed tomography imaging. SNA was identified based on the predefined CSA threshold. Patient outcomes were evaluated through outpatient clinic visits and telephone follow-ups. Outcomes assessed included wound healing rate, adverse wound outcomes (AWO), and AFS.

resultsIn the cohort of 52 limbs with CLTI from 52 patients, 19 individuals were categorized into the SNA group. The 6-month wound healing rate was significantly lower in the SNA group (15.8%) compared to the normal group (87.9%) (

conclusionsSNA was identified as a predictor for AWO and AFS in patients with CLTI after EVT. Future research should involve rigorous basic and large-scale clinical studies to elucidate the association between SNA and prognosis in patients with peripheral artery disease (PAD)/CLTI and explore the underlying pathophysiological mechanisms.

Indexed as

Chronic Limb-Threatening IschemiaEndovascular ProceduresIschemiaPeripheral Arterial DiseaseSciatic NerveWound HealingAgedAged, 80 and overAmputation, SurgicalAtrophyChronic DiseaseFemaleHumansLimb SalvageMaleMiddle Agedchronic limb-threatening ischemia (CLTI)endovascular therapysciatic nerve atrophywound healing

Identifiers

PMID42295162
PMCPMC13451593

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.