지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.9
- 수록면
- 215 - 222 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The main treatment modality of peripheral arterial occlusive disease (PAOD) of the lower extremities has shifted from traditional bypass surgery (BS) to a less invasive endovascular intervention (EI), but there is still conflicting data about the differences in long-term patency between the two modalities The purpose of this study was to analyze restenosis rates of femoral EI and to compare both anatomical and functional results between EI and femorodistal BS.
Methods: Between July 2003 and June 2009, 88 limbs (61 patients) and 47 limbs (43 patients) with femoral artery PAOD were treated with EI and BS, respectively. A retrospective analysis of prospectively collected data was performed by reviewing medical records, radiologic images and noninvasive vascular studies. Patient demographics and risk factors were analyzed. Technical outcomes such as restenosis rates, patency rates and functional outcomes using modified questionnaires were evaluated.
Results: The restenosis rates for EI at 6 months, 1 year, 2 years and 3 years were 10.4%, 20.1%, 41.1% and 52.7%, respectively, and the mean restenosis duration was 36.5±3.24 months. Comparison of patency rates between EI and BS showed no significant difference (P=0.204) in TASC C and D lesions. Functional outcome analysis showed that both EI and BS improved functional status after treatment, and comparison between the two groups showed that BS had a better functional improvement than EI (P=0.010).
Conclusion: EI could provide equivalent patency rates compared with BS, but for TASC C and D lesions, BS is still a preferred treatment modality based on better functional outcomes.
Methods: Between July 2003 and June 2009, 88 limbs (61 patients) and 47 limbs (43 patients) with femoral artery PAOD were treated with EI and BS, respectively. A retrospective analysis of prospectively collected data was performed by reviewing medical records, radiologic images and noninvasive vascular studies. Patient demographics and risk factors were analyzed. Technical outcomes such as restenosis rates, patency rates and functional outcomes using modified questionnaires were evaluated.
Results: The restenosis rates for EI at 6 months, 1 year, 2 years and 3 years were 10.4%, 20.1%, 41.1% and 52.7%, respectively, and the mean restenosis duration was 36.5±3.24 months. Comparison of patency rates between EI and BS showed no significant difference (P=0.204) in TASC C and D lesions. Functional outcome analysis showed that both EI and BS improved functional status after treatment, and comparison between the two groups showed that BS had a better functional improvement than EI (P=0.010).
Conclusion: EI could provide equivalent patency rates compared with BS, but for TASC C and D lesions, BS is still a preferred treatment modality based on better functional outcomes.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Norgren L / 2007 / Inter-Society Consensus for the management of peripheral arterial disease (TASC II) / J Vasc Surg 43 : S5 ~ 67
2. [학술지(정기간행물)] - Hirsch AT / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
3. [학술지(정기간행물)] - Hunink MG / 1995 / Revascularization for femoropopliteal disease. A decision and cost-effectiveness analysis / JAMA 274 : 165 ~ 171
4. [학술지(정기간행물)] - Albers M / 2005 / Meta- analysis of alternate autologous vein bypass grafts to infrapopliteal arteries / J Vasc Surg 42 : 449 ~ 455
5. [학술지(정기간행물)] - van der Zaag ES / 2004 / Angioplasty or bypass for superficial femoral artery disease? A randomised controlled trial / Eur J Vasc Endovasc Surg 28 : 132 ~ 137
2. [학술지(정기간행물)] - Hirsch AT / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
3. [학술지(정기간행물)] - Hunink MG / 1995 / Revascularization for femoropopliteal disease. A decision and cost-effectiveness analysis / JAMA 274 : 165 ~ 171
4. [학술지(정기간행물)] - Albers M / 2005 / Meta- analysis of alternate autologous vein bypass grafts to infrapopliteal arteries / J Vasc Surg 42 : 449 ~ 455
5. [학술지(정기간행물)] - van der Zaag ES / 2004 / Angioplasty or bypass for superficial femoral artery disease? A randomised controlled trial / Eur J Vasc Endovasc Surg 28 : 132 ~ 137
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