Revascularization of arteriosclerosis obliterans of the lower extremity
10.3760/cma.j.issn.1007-631X.2009.06.010
- VernacularTitle:下肢动脉硬化性闭塞症血管重建197例分析
- Author:
Kunmei GONG
;
Le XIAO
;
Kunhua WANG
;
Yongxue ZHANG
;
Yiming OUYANG
;
Ping LING
;
Yingguang HUANG
;
Linhai LI
;
Yaxin LONG
;
Jian ZHANG
;
Yu ZHU
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis obliterans;
Vascular surgical procedures;
Lower extremity;
Revascularization
- From:
Chinese Journal of General Surgery
2009;24(6):459-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate traditional surgical treatment, intraluminal strategy and hybrid operation on revascularization of atherosclerosis obliterans (ASO) of the lower extremity. Methods Clinical data of 197 ASO cases receiving revascularization from January, 1998 to December, 2008 were retrospectively analyzed. Seventy-seven cases underwent surgical treatment, 82 cases received intraluminal therapy, and 38 cases were treated by hybrid operation. The indications, clinical effect, complication and perioperational mortality of these three strategies were evaluated. Results 71% patients (164 cases) were followed up from 2 to 112 months. Surgical and intraluminal method had no statistical difference on long-term patency of aortic-iliac and femoral-popliteal artery (57% vs. 51%;48% vs. 42%). Hybrid procedure led to higher patency on multi-level lesion and concurrent thrombosis. The complications after surgery was higher than intraluminal on aortic- iliac and femoral-popliteal artery (31% vs. 12%;31% vs. 11%), and higher than intraluminal and hybrid on multi-level lesion (36% vs. 12% vs. 15%). The perioperative mortality of surgical group was 1.5% and 2.0% on aortic-iliac and multilevel lesion and 0% on other site;and that of intraluminal and hybrid procedure was 0%. Conclusion For aortic-iliac and femoral-popliteal artery revascularization, surgery was preferred in cases of long occlusive lesion and intervention was preferred for cases with short non-occlusive lesion. Hybrid procedure was the best for multi-level and concurrent thrombosis.
