|Outcome analysis of infrapopliteal percutaneous transluminal angioplasty and bypass graft surgery with nonreversed saphenous vein for individuals with critical limb ischemia.|
|PMID: 20724288 Owner: NLM Status: MEDLINE|
|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.
|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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|Type: Comparative Study; Journal Article Date: 2010-08-18|
|Title: Vascular and endovascular surgery Volume: 44 ISSN: 1938-9116 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2010 Nov|
|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|
|Languages: eng Pagination: 625-32 Citation Subset: IM|
|Division of Vascular Surgery, São Paulo State Public Servants Hospital, São Paulo, Brazil. email@example.com|
|APA/MLA Format Download EndNote Download BibTex|
Aged, 80 and over
Angioplasty, Balloon* / adverse effects, mortality
Arterial Occlusive Diseases / complications, mortality, physiopathology, surgery, therapy*
Graft Occlusion, Vascular / etiology, surgery
Ischemia / etiology, mortality, physiopathology, surgery, therapy*
Lower Extremity / blood supply*
Outcome and Process Assessment (Health Care)*
Popliteal Artery / physiopathology, surgery*
Proportional Hazards Models
Saphenous Vein / transplantation*
Vascular Grafting* / adverse effects, mortality
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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