A comparison for the patency rate between arterial bypass and interventional therapy of chronic lower limb ischemia
10.3760/cma.j.issn.1007-631X.2009.06.005
- VernacularTitle:下肢慢性动脉闭塞性疾病的外科血管旁路移植与腔内介入治疗
- Author:
Hengxi YU
;
Jian ZHANG
;
Zhonggao WANG
;
Jianxin LI
;
Yongquan GU
;
Xuefeng LI
;
Lixing QI
;
Bing CHEN
;
Tao LUO
;
Shengjia YANG
;
Xing ZHANG
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Vascular surgical procedures;
Interventional therapy;
Revascularization
- From:
Chinese Journal of General Surgery
2009;24(6):440-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the long term outcome between traditional arterial bypass and interventional therapy for chronic lower limb ischemia according to the TASC classification. Method A retrospective study was undertaken on 201 cases receiving graft bypass or interventional therapy for CLI (chronic limb ischemia) from December 2005 to December 2008. Result The patency rate at 6 month. 12 month and 24 month after operation by femoral artery stent angioplasty in therapy group (100%, 89.8%, 75%) is higher than that of angioplasty group(82.4%, 62.5%, 35.7%), P <0.05. The 2nd term patency rate(88%) of operation group (24 months after operation) is higher than that of interventional group (70.7%), P<0.05. Conclusion Arterial bypass has higher long term patency rate and is applicable for femoral artery long segment obliterate classified as TASC C, D, while for the short segment femoral artery obliterate classified as TASC A, B interventional therapy especially stenting is an alternative despite of low patency rate.
