The analysis of the follow-up results for the crural artery bypass / 中华外科杂志
Chinese Journal of Surgery
; (12): 1175-1178, 2009.
Article
em Zh
| WPRIM
| ID: wpr-299705
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To review the follow-up results of the crural artery bypass.</p><p><b>METHODS</b>Sixty-five limbs in 64 patients with long stenosis or occlusion in femoral artery and popliteal artery were performed 65 times femoral-crural artery bypass surgery or femoral-popliteal-crural bypass surgery during April 2001 to July 2007. The ankle-brachial index before bypass surgery was 0.35 +/- 0.20 in anterior tibial artery and 0.38 +/- 0.21 in posterior tibial artery. Critical limb ischemia was 93.8%.</p><p><b>RESULTS</b>The ankle-brachial index after bypass surgery was 0.84 +/- 0.26 in anterior tibial artery and 0.83 +/- 0.22 in posterior tibial artery. The perioperative mortality rate was 1.6%, the perioperative amputation rate was 1.5%. Fifty-four patients 54 limbs were followed up. The average follow-up time was (24.1 +/- 16.6) months. The follow-up limb salvage rate was 85.2%. The follow-up mortality rate was 25.9%. Critical limb ischemia decreased as 13.0%. The follow-up ankle-brachial index was difference with before and after bypass surgery as 0.66 +/- 0.26 in anterior tibial artery and 0.64 +/- 0.25 in posterior tibial artery. It was no difference in cumulative limb salvage rate, cumulative primary and secondary patency rate by comparing autogenous vein with composite vascular as graft and comparing femoral-crural artery bypass surgery with femoral-popliteal-crural bypass surgery as surgical method.</p><p><b>CONCLUSIONS</b>When the patients are failed in endovascular intervention or have long stenosis or occlusion in femoral artery and popliteal artery to face to amputation, the crural artery bypass is a feasible method. It's helpful to improve the secondary patency rate and limb salvage rate by enhancing the follow-up after operation and early intervention.</p>
Texto completo:
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Índice:
WPRIM
Assunto principal:
Artéria Poplítea
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Arteriopatias Oclusivas
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Cirurgia Geral
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Procedimentos Cirúrgicos Vasculares
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Estudos Retrospectivos
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Seguimentos
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Resultado do Tratamento
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Artéria Femoral
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Perna (Membro)
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2009
Tipo de documento:
Article