Clinical Analysis of Above-Knee Femoropopliteal Bypass on Chronic Lower Limb Ischemia.
- Author:
Sin Jae KANG
1
;
Dong Ik KIM
;
Sun Jung LEE
;
Byung Boong LEE
Author Information
1. Division of Vascualr Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dikim@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Bypass;
Femoropopliteal;
Patency
- MeSH:
Atherosclerosis;
Cerebral Infarction;
Coronary Artery Disease;
Diabetes Mellitus;
Dilatation;
Edema;
Extremities;
Gangrene;
Humans;
Hyperlipidemias;
Hypertension;
Iliac Artery;
Infarction;
Ischemia*;
Leg;
Lower Extremity*;
Multivariate Analysis;
Pneumonia;
Polytetrafluoroethylene;
Postoperative Complications;
Retrospective Studies;
Risk Factors;
Smoke;
Smoking;
Stents;
Stroke;
Transplants
- From:Journal of the Korean Society for Vascular Surgery
2001;17(1):40-46
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To elucidate overall aspects of femoropopliteal bypass including patency rate, risk factors for patency and complications. METHOD: We analyzed 61 limbs with atherosclerosis in 57 patients underwent above-knee femoropopliteal bypass surgery from September 1994 to April 2000 retrospectively. The mean age of the patients was 65.3 years (31~80 yr.) Operative indications included disabling claudication (54%), resting pain (11.5%), ischemic gangrene (or ulceration) (34.4%). Associated risk factors were cerebrovascular accident (51%), diabetes mellitus (39%), coronary artery disease (32%), hypertension (30%), hyperlipidemia (16%). We used PTFE (polytetrafluoroethylene) synthetic graft in all cases. Adjunctive procedures were performed in 13 cases, which were iliac artery stent insertion in 7 cases, balloon dilatation in 4 cases, neurolysis in 1 case, profundaplasty in 1 case. RESULT: Overall 1, 3, 5-year primary and secondary graft patency rates were 83.8%, 73.0%, 71.3% and 98.0%, 85.0%, 75.0%. 17 postoperative complications occured including 10 cases of leg edema, 3 cases of myocardiac infarction, 3 cases of cerebral infarction, 1 case of pneumonia. In uni- and multivariate analysis, run off score was the only significant factor influencing primary graft patency rate (p=0.013), but risk factors such as DM, smoking, hyperlipidemia had no statistical significancy on the primary and the secondary graft patency rates. CONCLUSION: We consider that run off score is the most important factor for predicting the graft patency as other studies verified.
