دورية أكاديمية
Endovascular Therapy Provides Similar Results of Bypass Graft Surgery in the Treatment of Infrainguinal Multilevel Arterial Disease in Patients with Chronic Limb-Threatening Ischemia in All GLASS Stages.
| العنوان: | Endovascular Therapy Provides Similar Results of Bypass Graft Surgery in the Treatment of Infrainguinal Multilevel Arterial Disease in Patients with Chronic Limb-Threatening Ischemia in All GLASS Stages. |
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| المؤلفون: | Casella IB; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil. Electronic address: ivan.c@hc.fm.usp.br., Sartori CH; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil., Faustino CB; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil., Vieira Mariz MP; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil., Presti C; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil., Puech-Leão P; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil., De Luccia N; Vascular Surgery Division, Clinics Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil. |
| المصدر: | Annals of vascular surgery [Ann Vasc Surg] 2020 Oct; Vol. 68, pp. 400-408. Date of Electronic Publication: 2020 Apr 25. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2007->: Netherlands : Elsevier Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986- |
| مواضيع طبية MeSH: | Angioplasty*/adverse effects , Angioplasty*/instrumentation , Angioplasty*/mortality , Vascular Grafting*/adverse effects , Vascular Grafting*/mortality, Femoral Artery/*surgery , Ischemia/*therapy , Peripheral Arterial Disease/*therapy , Popliteal Artery/*surgery , Saphenous Vein/*transplantation, Aged ; Amputation, Surgical ; Chronic Disease ; Female ; Femoral Artery/diagnostic imaging ; Femoral Artery/physiopathology ; Humans ; Ischemia/diagnostic imaging ; Ischemia/mortality ; Ischemia/physiopathology ; Limb Salvage ; Male ; Middle Aged ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/mortality ; Peripheral Arterial Disease/physiopathology ; Popliteal Artery/diagnostic imaging ; Popliteal Artery/physiopathology ; Retrospective Studies ; Risk Factors ; Stents ; Time Factors ; Treatment Outcome ; Vascular Patency |
| مستخلص: | Background: Extensive infrainguinal arterial disease still pose a challenge for technical and clinical success of percutaneous angioplasty. The purpose of this study was to compare the results of concomitant femoropopliteal and infrapopliteal percutaneous angioplasty/stenting (PTA/S) with distal bypass graft surgery (BGS) in patients with chronic limb-threatening ischemia (CLTI). Method: In a single-center retrospective investigation between 2011 and 2017, 668 revascularization procedures for CLTI were reviewed. Concomitant femoropopliteal and infrapopliteal disease was identified in 153 CLTI patients, treated with BGS (48) using autogenous veins as substitute or PTA/S in a single procedure (105). A subgroup of patients with complex, extensive arterial lesions (GLASS stage III) received additional analysis. Primary outcomes were limb salvage and survival. Results: The mean follow-up time was 21.4 months. Patients treated with PTA/S were significantly older and with predominance of females, diabetes and chronic kidney disease. Smoking was more common in patients treated with BGS. The BGS group showed a 36-month survival rate of 73.4%, whereas the PTA/S group presented a survival of 61.3% in the same interval (P = 0.25). The 36-month cumulative limb salvage rate was 53.3 and 59.7% for BGS and PTA/S, respectively (P = 0.24). For GLASS stage III patients, 36-month limb salvage rates were 54.4% for the PTA/S group and 50.2% for the BGS group (P = 0.29). Multivariate analysis pointed poor runoff status (all endovascular patients) and diabetes (GLASS III endovascular patients) as risk factors for limb loss. Conclusion: PTA/S and BGS presented similar results of limb salvage and survival in the treatment of concomitant femoropopliteal and infrapopliteal arterial disease in patients with CLTI, even for patients with extensive and complex arterial disease. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20200428 Date Completed: 20201109 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.avsg.2020.04.028 |
| PMID: | 32339688 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1615-5947 |
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| DOI: | 10.1016/j.avsg.2020.04.028 |