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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.3
- 발행연도
- 2021.3
- 수록면
- 175 - 185 (11page)
이용수
초록· 키워드
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Purpose: This study was conducted to determine factors associated with long-term graft patency after lower extremity arterial bypass (LEAB).
Methods: Database of LEABs for patients with chronic arterial occlusive disease (CAOD) at a single institution was retrospectively reviewed. To determine the factors we compared demographic, clinical, and procedural variables between 2 patient groups; group I (graft patency < 2 years) and group II (graft patency ≥ 5 years after LEAB) using univariable and multivariable analyses.
Results: Among 957 LEABs, 259 limbs (group I, 125 limbs and group II, 134 limbs) in 213 patients were included for the analysis. On a univariable analysis, younger age (69 years vs. 66 years, P = 0.024), hypertension (60.8% vs. 74.6%, P = 0.017), claudication (51.2% vs. 70.9%, P = 0.001), absence of prior intervention (50.4% vs. 73.9%, P < 0.001), common femoral artery based bypass (57.6% vs. 70.1%, P = 0.035), above-the knee bypass (36.8% vs. 64.2%, P < 0.001), postoperative graft salvage procedure (3.2% vs. 14.8%, P = 0.001), and statin use (75.2% vs. 88.8, P = 0.004) were associated with long-term patency. On a multivariate analysis hypertension (odds ratio [OR], 1.91; P = 0.038), claudication (OR, 2.08; P = 0.032), no prior intervention (OR, 2.48; P = 0.001), vein graft (OR, 4.36; P = 0.001), above-the knee bypass (OR, 4.68; P < 0.001), and graft salvage procedures (OR, 7.70; P < 0.001) were identified as independent factors.
Conclusion: These factors can be considered in decision making before treatment of patients with CAOD.
Methods: Database of LEABs for patients with chronic arterial occlusive disease (CAOD) at a single institution was retrospectively reviewed. To determine the factors we compared demographic, clinical, and procedural variables between 2 patient groups; group I (graft patency < 2 years) and group II (graft patency ≥ 5 years after LEAB) using univariable and multivariable analyses.
Results: Among 957 LEABs, 259 limbs (group I, 125 limbs and group II, 134 limbs) in 213 patients were included for the analysis. On a univariable analysis, younger age (69 years vs. 66 years, P = 0.024), hypertension (60.8% vs. 74.6%, P = 0.017), claudication (51.2% vs. 70.9%, P = 0.001), absence of prior intervention (50.4% vs. 73.9%, P < 0.001), common femoral artery based bypass (57.6% vs. 70.1%, P = 0.035), above-the knee bypass (36.8% vs. 64.2%, P < 0.001), postoperative graft salvage procedure (3.2% vs. 14.8%, P = 0.001), and statin use (75.2% vs. 88.8, P = 0.004) were associated with long-term patency. On a multivariate analysis hypertension (odds ratio [OR], 1.91; P = 0.038), claudication (OR, 2.08; P = 0.032), no prior intervention (OR, 2.48; P = 0.001), vein graft (OR, 4.36; P = 0.001), above-the knee bypass (OR, 4.68; P < 0.001), and graft salvage procedures (OR, 7.70; P < 0.001) were identified as independent factors.
Conclusion: These factors can be considered in decision making before treatment of patients with CAOD.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
Sachs T / 2011 / Trends in the national outcomes and costs for claudication and limb threatening ischemia: angioplasty vs bypass graft / Vasc Surg 54:1021~1031
Antoniou GA / 2013 / A metaanalysis of endovascular versus surgical reconstruction of femoropopliteal arterial disease / J Vasc Surg 57:242~253
Antoniou GA / 2017 / Bypass surgery for chronic lower limb ischaemia / Cochrane Database Syst Rev 4:CD002000
Uhl C / 2014 / Pedal bypass surgery after crural endovascular intervention / J Vasc Surg 59:1583~1587
Hossain S / 2019 / Editor’s choice:infrainguinal bypass following failed endovascular intervention compared with primary bypass: a systematic review and meta-analysis / Eur J Vasc Endovasc Surg 57:382~391
Antoniou GA / 2013 / A metaanalysis of endovascular versus surgical reconstruction of femoropopliteal arterial disease / J Vasc Surg 57:242~253
Antoniou GA / 2017 / Bypass surgery for chronic lower limb ischaemia / Cochrane Database Syst Rev 4:CD002000
Uhl C / 2014 / Pedal bypass surgery after crural endovascular intervention / J Vasc Surg 59:1583~1587
Hossain S / 2019 / Editor’s choice:infrainguinal bypass following failed endovascular intervention compared with primary bypass: a systematic review and meta-analysis / Eur J Vasc Endovasc Surg 57:382~391
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