Document Detail


Outcome analysis of infrapopliteal percutaneous transluminal angioplasty and bypass graft surgery with nonreversed saphenous vein for individuals with critical limb ischemia.
MedLine Citation:
PMID:  20724288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the results of percutaneous transluminal angioplasty (PTA) and bypass graft surgery (BGS) for the treatment of infrapopliteal lesions in individuals presenting with critical limb ischemia (CLI).
METHOD: A total of 48 infrapopliteal PTAs and 50 infrapopliteal BGS were compared retrospectively. All grafts used nonreversed saphenous vein in a single length as a substitute.
RESULTS: Secondary patency and limb salvage rates in 24 months for the surgical group were 64.7% and 73.2%, respectively. For PTA group, these values were 63.7% and 68.2%, without differences between groups (log rank; P = .45 and .39, respectively). Bypass graft surgery presented better results of secondary patency (72.9% vs 57.1%) and limb salvage (83.5% vs 53.6%) than PTA for patients with Transatlantic Inter-Society Consensus (TASC) D lesions (P = .04 and P = .01, respectively).
CONCLUSIONS: Both BGS and PTA provided similar results of patency and limb salvage for individuals with infrapopliteal atherosclerotic disease presenting with CLI. Bypass graft surgery had better results than PTA when TASC D lesions were present.
Authors:
Ivan Benaduce Casella; Francisco Cardoso Brochado-Neto; Giuliano de Almeida Sandri; Marcelo Jorge Kalaf; Marcos Roberto Godoy; Vinicius Scalco Costa; Marcelo Fernando Matielo; Roberto Sacilotto
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-08-18
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  625-32     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, São Paulo State Public Servants Hospital, São Paulo, Brazil. ivancasel@uol.com.br
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty, Balloon* / adverse effects,  mortality
Arterial Occlusive Diseases / complications,  mortality,  physiopathology,  surgery,  therapy*
Brazil
Constriction, Pathologic
Critical Illness
Female
Graft Occlusion, Vascular / etiology,  surgery
Humans
Ischemia / etiology,  mortality,  physiopathology,  surgery,  therapy*
Kaplan-Meier Estimate
Limb Salvage
Lower Extremity / blood supply*
Male
Middle Aged
Outcome and Process Assessment (Health Care)*
Patient Selection
Popliteal Artery / physiopathology,  surgery*
Proportional Hazards Models
Reoperation
Retrospective Studies
Risk Assessment
Risk Factors
Saphenous Vein / transplantation*
Time Factors
Treatment Outcome
Vascular Grafting* / adverse effects,  mortality
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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