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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.11
- 수록면
- 386 - 392 (7page)
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Purpose: Hybrid procedure in lower extremity arterial disease is composed of open bypass and endovascular treatment. For proximal inflow bypass operations for distal lesions used to be performed 1 or 2 weeks after endovascular therapy. Since Aug 2005, all hybrid operations have been performed simultaneously in the operation room in our center. In this study, we compared the results of the staged hybrid operations with those of simultaneous procedures.
Methods: From Jan 1999 to Dec 2009, 115 endovascular treatments and 139 bypass operations were performed. 44 bypasses were performed 1 day to 14 days after angioplasty in inflow lesions (group Ⅰ) and 95 bypasses were performed simultaneously in the operation room with mobile fluoroscopy (group Ⅱ). In both groups, inflow procedures included 3 femoral balloon angioplasties, 3 femoral stents, 24 iliac balloon angioplasties and 85 iliac stents. Bypass operations were composed of 39 femorofemoral and 102 infrainguinal bypasses including 60 femoropopliteal and 42 other bypasses.
Results: The 3-year patency rate of bypass graft is 71.5%. There is no difference in either group. But in endovascular treatment lesion, the 3-year patency rate is 80% and that of the simultaneous group is higher than that of the staged group (P＜0.05).
Conclusion: Hybrid operation is a less invasive therapy for revascularization in multilevel peripheral arterial occlusive disease. With development of endovascular therapy, simultaneous hybrid operations become more efficient.
Methods: From Jan 1999 to Dec 2009, 115 endovascular treatments and 139 bypass operations were performed. 44 bypasses were performed 1 day to 14 days after angioplasty in inflow lesions (group Ⅰ) and 95 bypasses were performed simultaneously in the operation room with mobile fluoroscopy (group Ⅱ). In both groups, inflow procedures included 3 femoral balloon angioplasties, 3 femoral stents, 24 iliac balloon angioplasties and 85 iliac stents. Bypass operations were composed of 39 femorofemoral and 102 infrainguinal bypasses including 60 femoropopliteal and 42 other bypasses.
Results: The 3-year patency rate of bypass graft is 71.5%. There is no difference in either group. But in endovascular treatment lesion, the 3-year patency rate is 80% and that of the simultaneous group is higher than that of the staged group (P＜0.05).
Conclusion: Hybrid operation is a less invasive therapy for revascularization in multilevel peripheral arterial occlusive disease. With development of endovascular therapy, simultaneous hybrid operations become more efficient.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Chiu KW / 2010 / Review of direct anatomical open surgical management of atherosclerotic aorto-iliac occlusive disease / Eur J Vasc Endovasc Surg 39 : 460 ~ 471
2. [학술지(정기간행물)] - Porter JM / 1973 / Combined arterial dilatation and femorofemoral bypass for limb salvage / Surg Gynecol Obstet 137 : 409 ~ 412
3. [학술지(정기간행물)] - Walker PJ / 1991 / Combined percutaneous transluminal angioplasty and extraanatomic bypass for symptomatic unilateral iliac artery occlusion with contralateral iliac artery stenosis / Ann Vasc Surg 5 : 209 ~ 217
4. [학술지(정기간행물)] - Pfeiffer RB Jr / 1986 / Adjunctive use of the balloon dilatation catheter during vascular reconstructive procedures / J Vasc Surg 3 : 841 ~ 845
5. [학술지(정기간행물)] - Corey CJ / 1983 / Combined operative angiodilation and arterial reconstruction for limb salvage / Arch Surg 118 : 1289 ~ 1292
2. [학술지(정기간행물)] - Porter JM / 1973 / Combined arterial dilatation and femorofemoral bypass for limb salvage / Surg Gynecol Obstet 137 : 409 ~ 412
3. [학술지(정기간행물)] - Walker PJ / 1991 / Combined percutaneous transluminal angioplasty and extraanatomic bypass for symptomatic unilateral iliac artery occlusion with contralateral iliac artery stenosis / Ann Vasc Surg 5 : 209 ~ 217
4. [학술지(정기간행물)] - Pfeiffer RB Jr / 1986 / Adjunctive use of the balloon dilatation catheter during vascular reconstructive procedures / J Vasc Surg 3 : 841 ~ 845
5. [학술지(정기간행물)] - Corey CJ / 1983 / Combined operative angiodilation and arterial reconstruction for limb salvage / Arch Surg 118 : 1289 ~ 1292
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