Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Natural history of composite sequential bypass - Ten years' experience
Autore:
Oppat, WF; Pearce, WH; McMillan, WD; Matsumura, JS; McCarthy, WJ; Yao, JST;
Indirizzi:
Northwestern Univ, Sch Med, Dept Surg, Div Vasc Surg, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 v Vasc Surg, Chicago, IL 60611 USA Rush Presbyterian St Lukes Med Ctr, Div Vasc Surg, Chicago, IL 60612 USA Rush Presbyterian St Lukes Med Ctr Chicago IL USA 60612 ago, IL 60612 USA Minnesota Thorac Associates, Minneapolis, MN USA Minnesota Thorac Associates Minneapolis MN USA ates, Minneapolis, MN USA
Titolo Testata:
ARCHIVES OF SURGERY
fascicolo: 7, volume: 134, anno: 1999,
pagine: 754 - 757
SICI:
0004-0010(199907)134:7<754:NHOCSB>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
POLYTETRAFLUOROETHYLENE GRAFTS; SAPHENOUS-VEIN; AUTOGENOUS VEIN; SEVERE ISCHEMIA; PATENCY; RECONSTRUCTION; POPLITEAL; ARTERIES; CUFF;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Pearce, WH 251 E Chicago Ave,Suite 626, Chicago, IL 60611 USA 251 E Chicago Ave,Suite 626 Chicago IL USA 60611 IL 60611 USA
Citazione:
W.F. Oppat et al., "Natural history of composite sequential bypass - Ten years' experience", ARCH SURG, 134(7), 1999, pp. 754-757

Abstract

Background: We previously reported 48-month patency rates of composite sequential bypass (CSB) approaching 60%. Yet, extended patency and limb salvage rates are unknown. Hypothesis: Long-term. patency and limb salvage rates of CSB are affected by sex, bypass configuration, and warfarin therapy. Design: Medical records of all patients who underwent CSB during a 10-yearperiod were retrospectively reviewed. Setting: A referral center for the Chicago, Ill, region. Patients: One hundred consecutive patients (mean age, 68.8 years; 57% weremen and 49% had diabetes) undergoing 102 CSBs for limb salvage (ulcer, 43%; rest pain, 39%; and gangrene, 18%) from January 1986 to January 1996 wereidentified. Interventions:: Warfarin was used after surgery by 72% of patients and aspirin was used by the remainder of them. Main Outcome Measures: Life table primary patency and limb salvage rates were compared for sex, diabetes mellitus status, location of distal prosthetic anastomosis (above knee vs below knee), and anticoagulation drug therapy(warfarin sodium vs aspirin) with log-rank statistics. Results: Primary patency of CSB was 56% at 24 months, 29% at 48 months, and 20% at 84 months (SE<10%; mean follow-up, 19.6 months [range, 1.0-110.0 months]). Limb salvage rates were 64% at 24 months, 30% at 48 months, and 23% at 84 months (SE<10%); 66% and 90% of patients had failed grafts requiring amputation by 3 months and I year, respectively. Conclusions: Composite sequential bypass for limb salvage provides reasonable 2-year patency. However, patency rates steadily declined from year 2 toyear 5. After CSB failure, limb salvage rates are poor, with 90% of patients progressing to amputation within I year.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 16:14:02