Impact of arterial surgery and balloon angioplasty on amputation: a population-based study of 1155 procedures between 1973 and 1992
| Autor: | Steven J. Jacobsen, John Byrne, Duane M. Ilstrup, Darryl T. Gray, John W. Hallett, Michelle M. Gayari |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Minnesota Population Arterial Occlusive Diseases Revascularization Balloon Severity of Illness Index Amputation Surgical Catheterization Angioplasty medicine Humans education Aged Retrospective Studies Aged 80 and over education.field_of_study Leg Vascular disease business.industry Incidence Vascular surgery Middle Aged medicine.disease Surgery medicine.anatomical_structure Amputation Population Surveillance Female business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Journal of vascular surgery. 25(1) |
| ISSN: | 0741-5214 |
| Popis: | Background: Limited population-based data are available on trends in the incidence of arterial surgery, balloon angioplasty, and amputation for arterial occlusive disease of the legs over the past two decades. Methods: We identified all elective and emergency arterial operations, balloon angioplasty procedures, and amputations performed for all residents of a defined community, Olmsted County, Minn., between 1973 and 1992. We focused on gender mix, type of procedure, and secular trends in utilization. Results: A total of 1155 procedures were performed, including 733 arterial surgical procedures, 59 balloon angioplasty procedures, and 363 amputations (288 major and 75 minor). Emergency procedures were performed in 12%. Suprainguinal inflow procedures were the most common arterial reconstruction (60%) compared with infrainguinal procedures (40%). The incidence of all revascularization procedures increased in the first decade but reached a plateau after 1985. Utilization rates of revascularization procedures from 1988 to 1992 were higher for men (141.9/100,000 person-years [p-yr]) than women (57.4/100,000 p-yr.). Angioplasty (17.0/100,000 p-yr) rates lagged behind surgery until 1985, but tripled in the past 10 years and have not yet reached a plateau. Although minor amputation rates remain unchanged in 20 years, major amputation rates have been reduced by 50% from 36.7/100,000 p-yr between 1973 and 1977 to 19.0/100,000 p-yr from 1988 to 1992. Conclusions: From this long-term population-based analysis (1973 to 1992), we conclude that increased vascular surgery and balloon angioplasty rates have coincided with a significant reduction in major amputation rates in the past 10 years. (J Vasc Surg 1997;25:29-38.) |
| Databáze: | OpenAIRE |
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