Surgery for lower-extremity arteriosclerotic occlusive disease
- VernacularTitle:358例下肢动脉硬化闭塞症外科治疗效果分析
- Author:
Chenyang SHEN
;
Keqiang ZHAO
;
Wei LI
;
Qingle LI
;
Jingjun JIANG
;
Yang JIAO
;
Xiaoming ZHANG
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis obliterans;
Ischemia;
Lower extremity;
Blood vessel prosthesis;
Intervention
- From:
Chinese Journal of General Surgery
2008;23(3):197-199
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical results for patients with lower-extremity arteriosclerotic occlusive disease. Methods We performed a respective analysis of 358 patients who underwent various consecutive surgical treatments including open artery reconstruction and intervention in our hospital between 2002 and 2007.Results In this study,358 patients(mean age 66 ± 10;293 male,65female)experienced a total of 413 surgical interventions including traditional bypass,interventional surgery and amputation.Postoperatively 310 patients(86.8%)were followed up from 6 months to 64 months.The 1-year,2-year and 3-year primary patency rates of iliac balloon angioplasty and stent placement were significantly higher than that of femoropopliteal balloon angioplasty and stent placement(P＜0.01),but not higher than that of aortoiliac or aortofemoral bypass(all P＞0.05).The 2-year and 3-year primary patency rates of femoropopliteal bypass above knee were significantly higher than that of femoropopliteal bypass below knee(P＜0.01),but that was not the case in 1-year group.There is no statistical difference in 1-year primary patency rates between femoropopliteal balloon angioplasty and distal popliteal balloon angioplasty (P＞0.05).Amputation rate was 8.7%(37/358).Perioperative mortality was 3.9%(14/358).Mortality during follow-up period was 6.4%(23/358).Conclusion A satisfactory result can be obtained in most patients with the lower-extremity arteriosclerotic occlusive disease by using the appropriate surgical treatment.
