Long-term Patency of Femoro-Popliteal Bypass with Artificial Grafts
10.4326/jjcvs.24.248
- VernacularTitle:閉塞性動脈硬化症に対する大腿膝窩動脈人工血管バイパス術の長期遠隔成績
- Author:
Kotaro Shiraga
;
Hiroki Ooge
;
Kazuhiro Kouchi
;
Katsuhiko Imai
;
Satoshi Kono
;
Tatsuhiko Komiya
;
Yoshio Kanzaki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(4):248-252
- CountryJapan
- Language:Japanese
-
Abstract:
Femoropopliteal bypass (FP bypass) with woven Dacron grafts was performed in 159 legs of 122 patients from November 1980 to June 1993. The operative mortality rate was 0.8%. Actuarial analysis at 10 years for overall patency of FP bypass was 75.1% (mean follow-up 45.1 months). Both univariate and multivariate analysis revealed three risk factors affecting long-term patency; poor run off, difficulty in anticoagulation therapy and high serum cholesterol. The 5-year patency rate with these factors were 55.8% (p<0.01), 61.7% (p<0.01) and 63.9% (p<0.05), relatively. Therefore we recommend early surgical treatment, and strict control of anticoagulation and adequate treatment of hyperlipidemia are of great importance.
