Remote endarterectomy for complex lower extremity ischemia

VernacularTitle:远程内膜剥脱术治疗复杂型下肢动脉缺血病变的有效性分析
Author: Jiyang WANG ¹ ; Zuoguan CHEN ; Yongpeng DIAO ; Peng LI ; Shuping TAN ; Yong LAN ; Chengran LU ; Yongjun LI
Author Information

1. 北京医院　国家老年医学中心　中国医学科学院老年医学研究院血管外科　100730
Keywords: Arterial occlusive diseases; Endarterectomy; Artificial graft bypass; Hybrid operation
From: Chinese Journal of General Surgery 2021;36(12):926-930
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the effect of remote endarterectomy in the treatment of complex lower extremity ischemia.Methods:Twenty-one limb ischemic patients underwent remote endarterectomy in Beijing Hospital from Sep 2016 to Feb 2020. Clinical data including general condition, the lesion of lower artery before operation and follow up outcomes were collected. Then the patency rate and limb salvage rate were calculated.Results:The technique success rate was 71.4% (15/21). The 3, 6, 12 month patency rate were 93.3%, 85.6% and 74.1%, respectively. The 1-year limb salvage rate was 93.3% (14/15). In the 6 patients converted to artificial vessel bypass, the 3,6,12 months patency rates were 76.7%, 66.7% and 46.8%, respectively. The 1-year limb salvage rate was 66.7%.Conclusions:Remote endarterectomy of the lower extremity artery is an alternative option in the treatment of complex ischemic lesions of the lower extremity artery, other than artificial vessel bypass.