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Titolo:
Infrainguinal revascularisation in the era of vein-graft surveillance - Doclinical factors influence long-term outcome?
Autore:
Olojugba, DH; McCarthy, MJ; Reid, A; Varty, K; Naylor, AR; Bell, PR; London, NJM;
Indirizzi:
Univ Leicester, Dept Surg, Leicester LE2 7LX, Leics, England Univ Leicester Leicester Leics England LE2 7LX er LE2 7LX, Leics, England
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 2, volume: 17, anno: 1999,
pagine: 121 - 128
SICI:
1078-5884(199902)17:2<121:IRITEO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUTOLOGOUS SAPHENOUS-VEIN; CRITICAL LIMB ISCHEMIA; ARTERIAL RECONSTRUCTION; INTENSIVE SURVEILLANCE; FEMOROPOPLITEAL BYPASS; AUTOGENOUS VEIN; PATENCY; SALVAGE; FAILURE; DISEASE;
Keywords:
vein graft surveillance; co-morbid factors; graft patency; limb salvage; postoperative survival;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: London, NJM Univ Leicester, Dept Surg, Leicester LE2 7LX, Leics, England Univ Leicester Leicester Leics England LE2 7LX Leics, England
Citazione:
D.H. Olojugba et al., "Infrainguinal revascularisation in the era of vein-graft surveillance - Doclinical factors influence long-term outcome?", EUR J VAS E, 17(2), 1999, pp. 121-128

Abstract

Objectives: to investigate the variables affecting the long-term outcome of infrainguinal vein bypass grafts that have undergone postoperative surveillance. Design: a retrospective analysis. Patients and methods: details of 299 consecutive infrainguinal vein graftsperformed in 275 patients from a single university hospital were collectedand analysed. All grafts underwent postoperative duplex surveillance. Factors affecting patency, limb salvage and survival rates were examined. Thesefactors were gender, diabetes, hypertension, aspirin, warfarin, ischaemic heart disease, run-off graft type, early thrombectomy, level of anastomosesand indication for surgery. Results: the 6-year primary, primary assisted and secondary patency rates were 23, 47, and 57%, respectively. Six-year limb salvage and patient survival were 68 and 45%, respectively Primary patency was adversely influenced by the use of composite vein grafts. Early thrombectomy was the only factorthat significantly influenced secondary patency. Limb salvage was worse indiabetic limbs, limbs with poor run-off and in grafts that required early thrombectomy. Postoperative survival was better in males, claudicants and in patients who took aspirin. Conclusions: although co-morbid factors did not influence graft patency rates, diabetes did adversely effect limb salvage. This study, like others before it, confirms that aspirin significantly reduces long-term mortality inpatients undergoing infrainguinal revascularisation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 17:01:09