Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
IMPACT OF INFLOW RECONSTRUCTION ON INFRAINGUINAL BYPASS
Autore:
EAGLETON MJ; ILLIG KA; GREEN RM; OURIEL K; RIGGS PN; DEWEESE JA;
Indirizzi:
UNIV ROCHESTER,DEPT SURG,VASC SURG SECT,MED CTR,601 ELMWOOD AVE ROCHESTER NY 14642 UNIV ROCHESTER,DEPT SURG,VASC SURG SECT,MED CTR ROCHESTER NY 14642
Titolo Testata:
Journal of vascular surgery
fascicolo: 6, volume: 26, anno: 1997,
pagine: 928 - 936
SICI:
0741-5214(1997)26:6<928:IOIROI>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
OCCLUSIVE DISEASE; STENOSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M.J. Eagleton et al., "IMPACT OF INFLOW RECONSTRUCTION ON INFRAINGUINAL BYPASS", Journal of vascular surgery, 26(6), 1997, pp. 928-936

Abstract

Purpose: This study assessed whether multisegmental disease that is severe enough to require an inflow procedure adversely affects infrainguinal bypass patency, limb salvage, or patient survival rates. Methods: The records of 495 patients who underwent 551 infrainguinal bypass grafting procedures were reviewed. Saphenous vein and prosthetic graftswere evaluated separately. Graft patency rates, patient limb salvage rates, and patient survival races in those grafts that arose from a reconstructed inflow source were compared with those that-arose from normal, nonreconstructed inflow sources. When grafts had either hemodynamic failure or occlusion, the cause offailure was identified. Results: Four-year primary patency Fates in vein grafts that arose from a reconstructed inflow sources were lower than those in grafts that arose from nonreconstructed inflow sources (41% vs 54%; p = 0.006). Assisted primary patency rates and secondary patency rates, however, were similar(62% vs 74% and 64% vs 77%, respectively). The 4-year primary patencyrate (45% vs 55%), assisted primary patency rate (60% vs 60%), and secondary patency rate (60% vs 61%) in prosthetic grafts did nor vary based on inflow source. The most common cause of graft failure was inflow failure, except in the vein grafts that did nor require an inflow procedure, in which the most common cause of failure tvas graft failure. Inflow failure occurred in 24% and 22% of the vein and prosthetic grafts with multisegmental disease, respectively, but in only 7% (p < 0.001) and 10% (p < 0.05), respectively, of those that arose from normal nonreconstructed inflow. The presence of an inflow procedure did not affect Limb salvage rates or patient survival rates, regardless of graft material. Conclusions: Long-term patency rates, patient limb salvagerates, and survival rates in patients with a reconstructed inflow source were similar to those of patients with a normal nonreconstructed inflow. A major cause of occlusion is inflow failure, and this occurs in a greater proportion of patients with multisegmental disease. These patients, in particular, may benefit from patient surveillance to screen for progression of their inflow disease and to allow for intervention before infrainguinal graft occlusion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 11:50:55