Clinical Result of Surgical Treatment for Atherosclerosis Obliterans of Lower Extremity.
- Author:
Jae Wook RYU
1
;
Jeong Ok PARK
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Korea. j3thorax@chol.com
- Publication Type:Original Article
- Keywords:
Atherosclerosis;
Arterial bypass;
Vascular surgery
- MeSH:
Amputation;
Arteries;
Atherosclerosis*;
Endarterectomy;
Extremities;
Follow-Up Studies;
Humans;
Lower Extremity*;
Retrospective Studies
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(4):298-303
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was performed to investigate the outcomes of vascular operations that were done in patients with atheroscerosis obliterans (ASO) of lower limb. MATERIAL AND METHOD: Forty patients underwent vascular operations from December 1996 to June 2004. The patient's records were analyzed retrospectively. Mean age was 66+/-8 years (range, 47~81 years). Gender ratio was 37:3 (male:female). RESULT: The operations were done on 50 lower limbs of 40 patients. The names of operations were femoropopliteal bypass in 12 patients (30%), femorofemoral bypass in 12 (30%), femorofemoral bypass and femoropopliteal bypass in five (12.5%), aorta-lower limb artery bypass in five (12.5%), axillofemoral bypass in two (5%), iliopopliteal bypass in two (5%), and endarterectomy in two (5%). All bypass surgeries were done with prosthetic conduits. Mean follow up period was 33.2+/-23.2 months (range, 3.8~90.2 months). The cumulative patency rates of 1 and 5 years were 75.5 and 58.7% respectively. In six patients, amputation of the lower limb was done. In eight patients, 12 complications occurred. After the first operation, 10 patients underwent reoperations. CONCLUSION: Our lower limb arterial bypass surgery revealed acceptable patency rate, but not a few patients required reoperations. An epochal treatment modality that can inhibit the progress of ASO and improve long term patency should be established.
