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
- 2009.12
- 수록면
- 410 - 416 (7page)
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초록· 키워드
오류제보하기
Purpose: Which graft material is appropriate for the above-knee femoropopliteal (AK fem-pop) bypass has been a controversy. We were to evaluate the usefulness of PTFE graft in AK fem-pop bypass by comparing the results of autogenous vein graft in below-knee femoropopliteal bypass.
Methods: This was a retrospective study of data for Fem-Pop bypass from August 1999 to August 2008. The median follow-up was 59.9±27.3 months. The demographic data, patency rate, secondary procedures, and amputation rate were compared, and statistical comparison was performed by Kaplan-Meier method, Log-rank test, and Chi-square test.
Results: Seventy-three bypasses were performed in 63 patients: PTFE graft in 48 cases (Group A), autogenous vein in 25 cases (Group B). Sixty-one patients (96.81%) were men. The mean age was 67.3±8.0 years. The indication for surgery was intermittent claudication in 27 cases (37.0%), critical limb in 46 cases (63.0%). The 6-yr primary patency rates were 28.1%; 60.3%, the 6-yr secondary patency rates were 37.2±8.4%, 67.0±14.7% in Group A and Group B, respectively (P＜0.05). The number of secondary procedures was 31 and 3, respectively (P＜0.05). Major amputation at later periods was not needed in Group B, but there were 9 cases in group A (P＜0.05).
Conclusion: PTFE graft for above-knee femoropopliteal bypass shows poor long-term patency with a large number of secondary procedures and a higher amputation rate than vein graft in BK Fem-Pop bypass. PTFE graft should be limited to patients with high operative risk, or poor venous graft.
Methods: This was a retrospective study of data for Fem-Pop bypass from August 1999 to August 2008. The median follow-up was 59.9±27.3 months. The demographic data, patency rate, secondary procedures, and amputation rate were compared, and statistical comparison was performed by Kaplan-Meier method, Log-rank test, and Chi-square test.
Results: Seventy-three bypasses were performed in 63 patients: PTFE graft in 48 cases (Group A), autogenous vein in 25 cases (Group B). Sixty-one patients (96.81%) were men. The mean age was 67.3±8.0 years. The indication for surgery was intermittent claudication in 27 cases (37.0%), critical limb in 46 cases (63.0%). The 6-yr primary patency rates were 28.1%; 60.3%, the 6-yr secondary patency rates were 37.2±8.4%, 67.0±14.7% in Group A and Group B, respectively (P＜0.05). The number of secondary procedures was 31 and 3, respectively (P＜0.05). Major amputation at later periods was not needed in Group B, but there were 9 cases in group A (P＜0.05).
Conclusion: PTFE graft for above-knee femoropopliteal bypass shows poor long-term patency with a large number of secondary procedures and a higher amputation rate than vein graft in BK Fem-Pop bypass. PTFE graft should be limited to patients with high operative risk, or poor venous graft.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Sala F / 2003 / Long-term outcome of femoral above-knee popliteal artery bypass using autologous saphenous vein versus expanded polytetrafluoroethylene grafts / Ann Vasc Surg 17 : 401 ~ 407
2. [학술지(정기간행물)] - Burger DH / 2000 / A prospective randomized trial comparing vein with polytetrafluoroethylene in above-knee femoropopliteal bypass grafting / J Vasc Surg 32 : 278 ~ 283
3. [학술지(정기간행물)] - Johnson WC / 2002 / Benefits, morbidity, and mortality associated with long-term administration of oral anticoagulant therapy to patients with peripheral arterial bypass procedures: a prospective randomized study / J Vasc Surg 35 : 413 ~ 421
4. [학술지(정기간행물)] - Klinkert P / 2003 / Vein versus polytetrafluoroethylene in above-knee femoropopliteal bypass grafting: five-year results of a randomized controlled trial / J Vasc Surg 37 : 149 ~ 155
5. [학술지(정기간행물)] - Albers M / 2005 / Meta- analysis of alternate autologous vein bypass grafts to infrapopliteal arteries / J Vasc Surg 42 : 449 ~ 455
2. [학술지(정기간행물)] - Burger DH / 2000 / A prospective randomized trial comparing vein with polytetrafluoroethylene in above-knee femoropopliteal bypass grafting / J Vasc Surg 32 : 278 ~ 283
3. [학술지(정기간행물)] - Johnson WC / 2002 / Benefits, morbidity, and mortality associated with long-term administration of oral anticoagulant therapy to patients with peripheral arterial bypass procedures: a prospective randomized study / J Vasc Surg 35 : 413 ~ 421
4. [학술지(정기간행물)] - Klinkert P / 2003 / Vein versus polytetrafluoroethylene in above-knee femoropopliteal bypass grafting: five-year results of a randomized controlled trial / J Vasc Surg 37 : 149 ~ 155
5. [학술지(정기간행물)] - Albers M / 2005 / Meta- analysis of alternate autologous vein bypass grafts to infrapopliteal arteries / J Vasc Surg 42 : 449 ~ 455
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UCI(KEPA) : I410-ECN-0101-2013-514-002680435