INFRAGENICULAR IN-SITU VEIN BYPASS GRAFT OCCLUSION - A MULTIVARIATE RISK FACTOR-ANALYSIS

被引：25

作者：

VARTY, K

LONDON, NJM

BRENNAN, JA

RATLIFF, DA

BELL, PRF

机构：

[1] Department of Surgery, University of Leicester, Leicester Royal Infirmary, Leicester, LE2 7LX, Clinical Sciences Building

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 05期

关键词：

VASCULAR GRAFT PATENCY; GRAFT STENOSIS; PERIPHERAL RESISTANCE; VEIN QUALITY;

D O I：

10.1016/S0950-821X(05)80371-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Early postoperative thrombosis and the later development of graft stenoses are the two major causes of vein bypass graft failure. The risk factors for both these outcomes were analysed in a multivariate analysis of 82 consecutive infragenicular in situ vein grafts. Twenty-four grafts failed within 30 days but eight were successfully revised. Technical errors accounted for six of the failures. A multivariate analysis revealed graft resistance >1.4 peripheral resistance units (odds ratio 5.8, 95% C.I. 1.6-20) as the only independent risk factor for early graft failure. Eighteen grafts (27%) developed a stenosis most commonly in the distal third of the graft (46%). Poor quality, small diameter vein was the only independent risk factor for graft stenosis (odds ratio 7, 95% C.I. 1.5-34). Composite vein grafts, where narrowed and thickened vein had been replaced, had a significantly lower stenosis rate (difference in proportions 0.41, 95% C.I. 0.1-0.8, Mann-Whitney U test). © 1993 Grune & Stratton Ltd.

引用

页码：567 / 571

页数：5

共 39 条

[1]

Budd, Brennan, Beard, Warren, Burton, Bell, Infrainguinal bypass surgery: factors determining late graft patency, Br J Surg, 77, pp. 1382-1387, (1990)

[2]

Rutherford, Jones, Bergentz, Et al., Factors affecting the patency of infrainguinal bypass, J Vasc Surg, 8, pp. 236-246, (1988)

[3]

Weisel, Johnston, Baird, Drezner, Oates, Lipton, Comparison of conduits for leg revascularisation, Surgery, 89, pp. 8-15, (1981)

[4]

Hickey, Thomson, Shearman, Simms, Aggressive arterial reconstruction for critical lower limb ischaemia, Br J Surg, 78, pp. 1476-1478, (1991)

[5]

Leather, Shah, Buchbinder, Annest, Karmody, Further experience with the saphenous vein used in situ for arterial bypass, Am J Surg, 142, pp. 506-510, (1981)

[6]

Lo Gerfo, Corson, Mannick, Improved Results With Femoropopliteal Vein Grafts for Limb Salvage, Archives of Surgery, 112, pp. 567-570, (1977)

[7]

Grimley, Obeid, Ashton, Slaney, Long term results of autogenous vein bypass grafts in femoropopliteal arterial occlusion, Br J Surg, 66, pp. 723-726, (1979)

[8]

Wengerter, Veith, Gupta, Et al., Prospective randomised multicenter comparison of in situ and reversed vein infrapopliteal bypasses, J Vasc Surg, 13, pp. 189-199, (1991)

[9]

Berkowitz, Greenstein, Barker, Perloff, Late failure of reversed vein bypass grafts, Ann Surg, 210, pp. 782-786, (1989)

[10]

Bergan, Veith, Bernhard, Et al., Randomization of autogenous vein and polytetrafluoroethylene grafts in femorodistal reconstruction, Surgery, 92, pp. 921-930, (1982)

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