The role of infragenicular spliced vein bypass surgery in patients with chronic limb-threatening ischemia: single center long-term results
| Autor: | Freek R van 't Land, Andre A.E.A. de Smet, Wouter J. J. Bekkers, Bram Fioole, Patricia A van Mierlo, Arjen G van Mierlo |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Single Center Peripheral Arterial Disease 03 medical and health sciences Small saphenous vein 0302 clinical medicine Ischemia Humans Medicine Vascular Patency Saphenous Vein Hospital Mortality Vein Aged Netherlands Retrospective Studies Aged 80 and over business.industry Mortality rate Great saphenous vein Retrospective cohort study General Medicine Middle Aged Surgery Treatment Outcome medicine.anatomical_structure Lower Extremity 030228 respiratory system Regional Blood Flow Chronic Disease Female Vascular Grafting Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | The Journal of Cardiovascular Surgery. 60 |
| ISSN: | 1827-191X 0021-9509 |
| Popis: | BACKGROUND In patients requiring infrageniculate surgical revascularization a single-segment great saphenous vein (SS-GSV) is the optimal conduit. In the absence of a SS-GSV, the small saphenous vein and arm veins can also be used to obtain an all-autologous bypass. The aim of this study was to compare the long-term results of infrageniculate SS-GSV bypasses and spliced vein bypasses in patients with chronic limb-threatening ischemia (CLTI). METHODS A total of 308 consecutive CLTI patients who underwent a primary infragenicular, autologous bypass between January 2000 and December 2016 were included. The definition of a spliced vein bypass was a graft consisting of at least two venous segments. RESULTS A SS-GSV graft was used in 235 patients, and a spliced vein graft was used in 73 patients. Significantly more infrapopliteal bypasses were performed in the spliced vein group (P=0.024), and in this group the mean operation time was almost 60 minutes longer (P |
| Databáze: | OpenAIRE |
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