Surgical Treatment of Peripheral Artery Occlusive Disease.
- Author:
Hae Kyoon KIM
1
;
Yong Han YOON
;
Doo Yun LEE
;
Dong Suck MOON
;
Taek Youn LEE
;
Yoon Joo HONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Yongdong Severance Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Atherosclerosis obliterans;
Vascular surgery
- MeSH:
Alprostadil;
Arteries*;
Arteritis;
Atherosclerosis;
Embolectomy;
Humans;
Retrospective Studies;
Schools, Medical;
Surgical Procedures, Operative;
Sympathectomy;
Thromboangiitis Obliterans;
Transplants;
Troleandomycin
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(3):262-265
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A retrospective analysis was performed on the 72 cases of peripheral artery occlusive disease treated at Yonsei Medical School Yongdong Severance Hospital, from March 1, 1990, through July 31, 1992, focusing on the operative procedures, surgical results and perioperative complications. The etiologic causes of vascular obstruction were atherosclerosis in 28 cases, Buerger's disease in 31, traumatic orgin in 7, operative complications in 4, and malignancy and arteritis in one case each. Treatment modalities, actually performed include bypass graft. (27), infusion of PGE1 (23), Embolectomy (16), Sympathectomy (4) and end-to-end anastomosis (2). There were 21 satisfactory cases and 9 unsatisfactory cases of atherosclerotive occlusive disease, defining the operative outcome as "satisfactory" if the obstructive symptoms disappeared completely and "unsatisfactory" if they did not. The patients of TAO induced Buerger's disease with preoperative Foutain class III or IV were surgically converted to class 0 in 14 cases, class I in 12 and class II in 3.
