Arterial Reconstruction for Femoropopliteal Occlusive Disease Due to Arteriosclerosis. A Retrospective Comperative Study between Endarterectomy and Femoropopliteal Bypass.
10.4326/jjcvs.21.1
- VernacularTitle:大腿動脈閉塞性動脈硬化症に対する外科治療の検討 血栓内膜摘除術とバイパス術
- Author:
Yoshiaki FUKUMURA
;
Kazuyoshi KUROKAMI
;
Tetsuya KITAGAWA
;
Yoshiyasu EGAWA
;
Itsuo KATOH
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(1):1-5
- CountryJapan
- Language:Japanese
-
Abstract:
During the past thirteen years, 75 patients (97 limbs) with femoropopliteal occulusive disease due to arteriosclerosis were treated by surgical reconstructions. The 75 patients consisted of 70 men and 5 women with an age range of 32-83 years (mean±SD: 65.9±9.6 years). Regarding the indications for operation, intermittent claudication was found in 46 patients (61%), rest pain in 24 patients (32%) and gangrene in 5 patients (7%). As the atherosclerotic risk factors, cigarette smoking and hypertension were present in high rates, and ischemic heart disease was complicated in 31.4%. Endarterectomy with vein angioplasty was performed for 31 limbs and bypass operation usually using EPTFE grafts was for 66 limbs. Cumulative patency rate at five years was 72.6% in endarterectomy group, and 48.1% in bypass group. At ten years, 72.6% and 36.1%. Comparisons of the patency rate between two technics, endarterectomy was significantly better than bypass oparation in late postoperative period. Endarterectomy is recommended as the treatment of choice for femoropopliteal occulusive disease, because of the long-term patency.
