Factors associated with long-term graft patency after lower extremity arterial bypasses
| Autor: | Young-Wook Kim, Dong-Ik Kim, Ki-Sang Jung, Yang-Jin Park, Shin-Young Woo, Seon-Hee Heo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lower extremity Multivariate analysis Graft patency business.industry Occlusive disease Vein graft Femoral artery Odds ratio 030204 cardiovascular system & hematology Surgery 03 medical and health sciences 0302 clinical medicine medicine.artery Peripheral arterial disease medicine Original Article Arterial bypass 030212 general & internal medicine Single institution medicine.symptom Claudication business |
| Zdroj: | Annals of Surgical Treatment and Research |
| ISSN: | 2288-6575 |
| Popis: | Purpose This study was conducted to determine factors associated with long-term graft patency after lower extremity arterial bypass (LEAB). Methods Database of LEABs for patients with chronic arterial occlusive disease (CAOD) at a single institution was retrospectively reviewed. To determine the factors we compared demographic, clinical, and procedural variables between 2 patient groups; group I (graft patency < 2 years) and group II (graft patency ≥ 5 years after LEAB) using univariable and multivariable analyses. Results Among 957 LEABs, 259 limbs (group I, 125 limbs and group II, 134 limbs) in 213 patients were included for the analysis. On a univariable analysis, younger age (69 years vs. 66 years, P = 0.024), hypertension (60.8% vs. 74.6%, P = 0.017), claudication (51.2% vs. 70.9%, P = 0.001), absence of prior intervention (50.4% vs. 73.9%, P < 0.001), common femoral artery based bypass (57.6% vs. 70.1%, P = 0.035), above-the knee bypass (36.8% vs. 64.2%, P < 0.001), postoperative graft salvage procedure (3.2% vs. 14.8%, P = 0.001), and statin use (75.2% vs. 88.8, P = 0.004) were associated with long-term patency. On a multivariate analysis hypertension (odds ratio [OR], 1.91; P = 0.038), claudication (OR, 2.08; P = 0.032), no prior intervention (OR, 2.48; P = 0.001), vein graft (OR, 4.36; P = 0.001), above-the knee bypass (OR, 4.68; P < 0.001), and graft salvage procedures (OR, 7.70; P < 0.001) were identified as independent factors. Conclusion These factors can be considered in decision making before treatment of patients with CAOD. |
| Databáze: | OpenAIRE |
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