Revisiting Microsurgical Distal Bypass for Critical Limb Ischemia
| Autor: | Yoshio Tanaka, Tomohisa Nagasao, Tetsuji Uemura, Tomohiro Hirao, Shinobu Ayabe |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Framingham Risk Score Arterial disease business.industry medicine.medical_treatment Limb salvage Critical limb ischemia 030204 cardiovascular system & hematology 030230 surgery Revascularization Surgery 03 medical and health sciences 0302 clinical medicine Distal bypass medicine Clinical severity medicine.symptom business Distal anastomosis |
| Zdroj: | Journal of Reconstructive Microsurgery. 32:608-614 |
| ISSN: | 1098-8947 0743-684X |
| Popis: | Background The purpose of this study was to investigate the efficacy of introducing microsurgical techniques to distal bypass surgery for critical limb ischemia. Methods Datasets of 83 consecutive microsurgical distal bypasses in a multicenter (SKY) study were compared with the results of the PREVENT III (PIII) study regarding the following: (1) patients' characteristics, (2) clinical severity according to the PIII risk score, (3) conduits and procedures for revascularization, (4) proximal and distal anastomosis sites, and (5) primary patency and amputation-free survival (AFS) rates at 1 year. Results The high-risk group in the SKY study was larger compared with that in the PIII study (37 vs. 9%, respectively; p Conclusions Our data demonstrated that microsurgical distal bypass is an effective and durable procedure, especially for high-risk patients. We believe that microsurgical techniques should be considered for distal bypass to optimize the treatment of ischemic limbs with severe peripheral artery disease. |
| Databáze: | OpenAIRE |
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