BENEFITS OF ARTERIAL RECONSTRUCTION IN CLAUDICATION

被引：1

作者：

OHTA, T

KATO, R

SUGIMOTO, I

HIDA, K

HACHIYA, J

MIHARA, E

HASEGAWA, T

IMAMURA, Y

ISHIBASHI, H

HOSAKA, M

KAZUI, H

TSUCHIOKA, H

机构：

[1] Second Department of Surgery, Aichi Medical University, Aichi, 480-11, 21 Karimata, Yazako, Nagakute

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 10期

关键词：

INTERMITTENT CLAUDICATION; ARTERIAL RECONSTRUCTION; MIDTERM RESULTS; PALLIATION RATE;

D O I：

10.1007/BF00311754

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We conducted a midterm follow-up of 150 claudicants who underwent surgical reconstruction by assessing cumulative patency, survival, and palliation (graft patency in live patients) rates. Eighty-nine claudicants (group I) underwent direct (in situ) proximal revascularization, 33 (group II) had indirect (ex situ) proximal revascularization, while 28 (group III) had distal revascularization, The secondary patency rates at 3 years were 97.5% in group I, 97.0% in group II, and 75.0% in group III, respectively, Only one patient with limb graft thrombosis required below-knee amputation, There were 3 perioperative deaths (2 in group I and 1 in group II), The survival rates at 3 years were 86.0% in group I, 69.5% in group II, and 95.8% in group III, respectively, The palliation rates at 3 years were 84.8% in group I, 70.0% in group II, and 77.9% in group III, respectively. These findings indicate the midterm benefits of supra- and infrainguinal arterial reconstructions, and also suggest that the preoperative assessment of risks in individual patients, the selection of the appropriate operative procedure and graft material, and intensive postoperative follow-up and management of any associated disease are all important aspects in the treatment of claudicants.

引用

页码：891 / 896

页数：6

共 26 条

[1]

Bloor K., Natural history of atherosclerosis of the lower extremities, Ann R Coll Surg Engl, 28, pp. 36-51, (1961)

[2]

Dormandy J., Mahir M., Ascady G., Balsano F., De Leeuw P., Blembery P., Fate of patients with chronic leg ischemia, J Cardiovasc Surg, 30, pp. 50-57, (1989)

[3]

Ohta T., Kato Y., Kazui H., Kondo M., Tsuchioka H., Shionoya S., The prognosis of intermittent claudication, J Jpn Surg Soc, 90, pp. 615-621, (1989)

[4]

Sladen J.G., Gilmour J.L., Fate of claudicant after femoropopliteal vein bypass: Prospective, long-term follow-up of 100 patients, Can J Surg, 28, pp. 401-404, (1985)

[5]

Suggested standard for reports dealing with lower-extremity ischemia. Prepared by the ad hoc committee on reporting standards, Society for Vascular Surgery/North American Chapter, International Society for Cardiovascular Surgery, J Vasc Surg, 4, pp. 80-94, (1986)

[6]

Martines B.D., Hertzer N.R., Beven E.G., Influence of distal arterial occlusion on prognosis following aortobifemoral bypass, Surgery, 88, pp. 795-805, (1980)

[7]

Jones A.F., Kempczinski R.F., Aortofemoral bypass grafting. A reappraisal, Arch Surg, 116, pp. 301-305, (1981)

[8]

Szilagyi D.E., Elliot J.P., Smith R.F., Reddy D.J., McPharlin M., A thirty-year survey of the reconstructive surgical treatment of aortoiliac occlusive disease, J Vasc Surg, 3, pp. 421-436, (1986)

[9]

Sladen J.G., Gilmour J.L., Wong R.W., Cumulative patency and actual palliation in patients with claudication after aortofemoral bypass. Prospective long-term follow-up of 100 patients, Am J Surg, 152, pp. 190-195, (1986)

[10]

Piotrowski J.J., Pearce W.H., Jones D.N., Whitehill T., Bell R., Patt A., Rutherford R.B., Aortofemoral bypass: Operation of choice for unilateral iliac occlusion?, J Vasc Surg, 8, pp. 211-218, (1988)

← 1 2 3 →