Outcomes of Bypass Surgery Versus Endovascular Therapy for TASC II C and D Femoro-Popliteal Lesions in Patients with Chronic Limb Ischemia
Journal of the Korean Society for Vascular Surgery
; : 90-97, 2010.
Article
em Ko
| WPRIM
| ID: wpr-43628
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We wanted to define the appropriate treatment modalities for Trans-Atlantic Inter-Society Consensus (TASC) II C and D femoro-popliteal lesions. So we compared the primary patency rate and several clinical factors between percutaneous balloon angioplasty with or without stenting (PTA/S) and bypass surgery (BP).METHODS:
We reviewed the medical records of patients who underwent BP or PTA/S for TASC II C (BP-C, PTA/S-C) and D (BP-D, PTA/S-D) femoro-popliteal lesions from March 2001 to May 2009. We analyzed the primary and secondary patency rates, and the major limb salvage rates.RESULTS:
Eighty two limbs in 74 patients (mean age 68.7+/-10.2 years, males 82.9%) were treated (PTA/S-C 18, PTA/S-D 19 BP-C 12, BP-D 33). The mean follow-up duration was 30.0+/-19.0 months. The twenty four month primary patency rates was 82.4% for PTA/S-C and 73.3% for BP-C (P=0.876), and 45.3% for PTA/S-D and 66.6% for BP-D (P=0.034). The twenty four month secondary patency rates were 88.2% for PTA/S-C and 73.3% for BP-C (P=0.669), and 54.7% for PTA/S-D and 73.3% for BP-D (P=0.077). The twenty four month major limb salvage rates were 100.0% for PTA/S-C and 75.0% for BP-C (P=0.030) but there were no statistical differences between the TASC II D groups (P=0.377).CONCLUSION:
Bypass surgery is a preferred initial therapeutic option for TASC II D femoro-popliteal lesions. However, several clinical factors must be carefully considered when selecting the primary treatment modality for TASC II C lesions.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Stents
/
Prontuários Médicos
/
Seguimentos
/
Angioplastia com Balão
/
Salvamento de Membro
/
Consenso
/
Extremidades
/
Isquemia
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Society for Vascular Surgery
Ano de publicação:
2010
Tipo de documento:
Article