| Late results of coronary bypass in patients presenting with lower extremity ischemia: the Cleveland Clinic Study. | |
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MedLine Citation:
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PMID: 3509768 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiac catheterization was performed in a prospective series of 1000 patients under consideration for elective peripheral vascular reconstruction from 1978-1982. Of these, 381 (mean age 62) presented primarily because of lower extremity ischemia. Severe, surgically correctable coronary artery disease (CAD) was documented in 79 (21%) of the leg group, and 68 (18%) received myocardial revascularization, with three fatal complications (4.4%). In this subset, 39 patients have had uneventful aortoiliac, femoropopliteal or distal extremity procedures, compared to an operative mortality of 23% for 13 others with uncorrected or inoperable CAD (p = 0.015). A total of 286 patients have undergone 407 peripheral vascular operations with eight early deaths (2.8%). An additional 114 patients (30%) died during the late follow-up interval, including 48 (13%) with cardiac events. Both the cumulative 5-year survival (72%) and cardiac mortality (16%) after coronary bypass are superior to comparable figures (21% and 56%, respectively) among 36 other patients with severe, uncorrected or inoperable CAD (p = 0.0001). Five-year survival appears to be improved by myocardial revascularization in men (p = 0.0027), hypertensives (p = 0.0001), nondiabetics (p = 0.0002) and those over 60 years of age (p = 0.0072). |
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Authors:
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N R Hertzer; J R Young; E G Beven; P J O'Hara; R A Graor; W F Ruschhaupt; L C Maljovec |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 1 ISSN: 0890-5096 ISO Abbreviation: Ann Vasc Surg Publication Date: 1987 May |
Date Detail:
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Created Date: 1989-01-26 Completed Date: 1989-01-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 411-9 Citation Subset: IM |
Affiliation:
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Cleveland Clinic Foundation, Department of Vascular Surgery, Ohio 44106. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Actuarial Analysis Adult Age Factors Aged Aged, 80 and over Anastomosis, Surgical / mortality Coronary Artery Bypass / mortality* Coronary Disease / complications, surgery* Diabetes Complications Female Follow-Up Studies Humans Hypertension / complications Ischemia / complications*, surgery Leg / blood supply*, surgery Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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