Arterial reconstruction for lower limb ischaemia in Hong Kong Chinese

被引:2
作者
Chong, AKA
Chiu, KM
Lo, SF
Yip, AWC
机构
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1997年 / 67卷 / 05期
关键词
arterial bypass; atherosclerosis; limb ischaemia; BYPASS; ISCHEMIA; VEIN;
D O I
10.1111/j.1445-2197.1997.tb01961.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Lower limb ischaemia due to peripheral arterial disease is, uncommon in Chinese people, and few arterial bypass operations have been performed. The management of a consecutive series of patients who were admitted to our department with severe lower limb ischaemis between March 1990 and October 1996 is reported here. Methods: A total of 91 primary arterial bypass operations were performed for 83 patients (eight patients had bilateral, or two procedures). Of these, 84 operations were for foot salvage and seven operations were for debilitating claudication. There were 80 infra-inguinal bypasses, 10 of which required additional femoro-femoral crossover grafts to improve in-flow. The remaining 11 bypass procedures were performed for aorto-iliac occlusion. which included aortobifemoral bypass (5), axillobifemoral bypass (3) and cross-femoral bypass (3) grafts. There were 46 male and 37 female patients, with a median age of 70 years (36-94). Results: Six patients died (6.6%) postoperatively, all of whom were in the foot salvage group. The overall cumulative foot salvage rate and graft patency was 84 and 56%, respectively, at 5 years. Conclusions: These results justified the use Of the same aggressive approach that was adopted in Western countries for the treatment of peripheral arterial disease, which seemed to be an emerging problem in Hong Kong.
引用
收藏
页码:270 / 274
页数:5
相关论文
共 17 条
  • [1] LATE FAILURE OF REVERSED VEIN BYPASS GRAFTS
    BERKOWITZ, HD
    GREENSTEIN, S
    BARKER, CF
    PERLOFF, LJ
    [J]. ANNALS OF SURGERY, 1989, 210 (06) : 782 - 786
  • [2] BREWSTER DC, 1983, ARCH SURG-CHICAGO, V118, P1043
  • [3] CAMPBELL WB, 1994, ANN ROY COLL SURG, V76, P127
  • [4] CHENG SWK, 1996, ASIAN J SURG, V19, P6
  • [5] HARRIS PL, 1995, EUR J VASC ENDOVASC, V10, P108
  • [6] *HONG KONG HOSP AU, 1993, BUS PLAN 1993 1994
  • [7] 11-YEAR EXPERIENCE WITH TIBIOTIBIAL BYPASS - AN UNUSUAL BUT EFFECTIVE SOLUTION TO DISTAL TIBIAL ARTERY OCCLUSIVE DISEASE AND LIMITED AUTOLOGOUS VEIN
    LYON, RT
    VEITH, FJ
    MARSAN, BU
    WENGERTER, KR
    PANETTA, TF
    MARIN, ML
    GOLDSMITH, J
    RIVERS, SP
    SUGGS, W
    [J]. JOURNAL OF VASCULAR SURGERY, 1994, 20 (01) : 61 - 69
  • [8] VERY DISTAL BYPASS FOR SALVAGE OF THE SEVERELY ISCHEMIC EXTREMITY
    QUINONESBALDRICH, WJ
    COLBURN, MD
    AHN, SS
    GELABERT, HA
    MOORE, WS
    [J]. AMERICAN JOURNAL OF SURGERY, 1993, 166 (02) : 117 - 123
  • [9] INFLUENCE OF A VEIN CUFF ON POLYTETRAFLUOROETHYLENE GRAFTS FOR PRIMARY FEMOROPOPLITEAL BYPASS
    RAPTIS, S
    MILLER, JH
    [J]. BRITISH JOURNAL OF SURGERY, 1995, 82 (04) : 487 - 491
  • [10] TREATMENT AND OUTCOME OF SEVERE LOWER-LIMB ISCHEMIA
    SAYERS, RD
    THOMPSON, MM
    HARTSHORNE, T
    BUDD, JS
    BELL, PRF
    [J]. BRITISH JOURNAL OF SURGERY, 1994, 81 (04) : 521 - 523