COMPARATIVE-ANALYSIS OF PATENCY, LIMB SALVAGE AND SURVIVAL IN DIABETIC AND NONDIABETIC PATIENTS UNDERGOING INFRAINGUINAL BYPASS-SURGERY

被引:19
作者
KARACAGIL, S
ALMGREN, B
BOWALD, S
BERGQVIST, D
机构
[1] Department of Surgery, University Hospital, Uppsala
关键词
DIABETES; INFRAINGUINAL BYPASS; OUTCOME;
D O I
10.1111/j.1464-5491.1995.tb00537.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In 92 diabetic and 175 non-diabetic patients undergoing 336 femoropopliteal or femorodistal bypass procedures, 1- and 3-year cumulative life-table patency, limb salvage, and survival rates were comparatively analysed. The peroperative mortality rate was significantly higher in diabetic patients (5 % compared to 1.4 %, p<0.001). The cumulative graft patency rates were 61 % at 12 months and 46 % at 36 months in diabetic patients compared to 64 and 52 % in non-diabetic patients. Significantly better patency rates were observed in limbs with good runoff compared to limbs with poor runoff in both groups. The limb salvage rates at 3 years were 70 % in diabetic patients and 62 % in non-diabetic patients. The survival rate at 3 years was significantly lower in diabetic patients, 62 % compared to 86 % in non-diabetic patients. Diabetic patients with poor runoff demonstrated a significantly lower survival rate after 36 months compared to diabetic patients with good runoff (48 % and 74 %, respectively). The results of this study demonstrate that the early and intermediate patency and limb salvage rates are similar in diabetic and non-diabetic patients. On the other hand the survival rate in diabetic patients,
引用
收藏
页码:537 / 541
页数:5
相关论文
共 18 条
[1]  
Cutler BS, Thompson JE, Kleinsasser LJ, Hempel GK., Autologous saphenous vein femoropopliteal bypass: analysis of 298 cases, Surgery, 79, pp. 325-331, (1976)
[2]  
Reichle FA, Rankin KP, Tysson RR, Finestone AJ, Schuman CR., Long‐term results of femoropopliteal bypass in diabetic patients with severe ischaemia of the lower extremity, Am J Surg, 137, pp. 653-656, (1979)
[3]  
Hurley JJ, Auer AI, Hersey FB., Distal arterial reconstruction: patency and limb salvage in diabetics, J Vasc Surg, 5, pp. 796-800, (1987)
[4]  
Auer AI, Hurley JJ, Binnigton HB, Nunnele JD, Hershey FB., Distal tibial vein grafts for limb salvage, Arch Surg, 118, pp. 597-602, (1983)
[5]  
Taylor LM, Edwards JM, Phinney ES, Porter JM., Reversed vein bypass to infrapopliteal arteries. Modern results are superior to or equivalent to in‐situ bypass for patency and vein utilization, Ann Surg, 5, pp. 796-800, (1987)
[6]  
Veith FJ, Gupta SK, Ascer E., White-Flores S., Samson RH, Scher LA, Et al., Six‐year prospective multicenter randomized comparison of autologous saphenous vein and expanded polytetrafluoroethylene grafts in infrainguinal arterial reconstructions, J Vasc Surg, 3, pp. 104-114, (1986)
[7]  
Rosenblatt MS, Quist WC, Sidawy AN, Paniszyn CC, LoGerfo FW., Results of vein graft reconstruction of the lower extremity in diabetic and nondiabetic patients, Surg Gyn Obstet, 171, pp. 331-335, (1990)
[8]  
Stipa S., Wheelock FC., A comparison of femoral artery grafts in diabetic and nondiabetic patients, Am J Surg, 121, pp. 223-228, (1971)
[9]  
Imparato AM, Kim GE, Madayag M., Haveson S., Angiographic criteria for successful tibial arterial reconstructions, Surgery, 74, pp. 830-838, (1973)
[10]  
Karacagil S., Almgren B., Bergstrom R., Bowald S., Eriksson I., Postoperative predictive value of a new method of intraoperative angiographic assessment of runoff in femoropopliteal bypass grafting, J Vasc Surg, 10, pp. 400-407, (1989)