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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.5
- 발행연도
- 2012.11
- 수록면
- 307 - 315 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: We attempted to determine risk factors for the development of failing vein graft and optimal treatment in patients with infrainguinal vein grafts. Methods: We retrospectively reviewed a database of patients who underwent infrainguinal bypass using autogenous vein grafts due to chronic atherosclerotic arterial occlusive disease of lower extremity (LE) at a single institute between September 2003 and December 2011. After reviewing demographic, clinical, and angiographic features of the patients with failing grafts, we analyzed those variables to determine risk factors for the development of failing grafts. To determine an optimal treatment for the failing vein grafts, we compared results of open surgical repair (OSR), endovascular treatment (EVT) and conservative treatment. Results: Two hundred and fifty-eight LE arterial bypasses using autogenous vein grafts in 242 patients were included in this study. During the follow-up period of 39 ± 25 months (range, 1 to 89 months), we found 166 (64%) patent grafts with no restenosis, 41 (15.9%) failing grafts, 39 (15.1%) graft occlusions, and 12 (4.7%) grafts lost in follow-up. In risk factor analysis for the development of a failing graft, no independent risk factors were identified. After 50 treatments of the 41 failing grafts (24 OSR, 18 EVT, 8 conservative management), graft occlusion was significantly more common in conservative treatment group and severe (＞75%) restenosis was significantly more common following EVT than OSR (P = 0.001). Reintervention-free graft patency was also superior in the OSR group to that of the EVT group (87% vs. 42%, P = 0.015). Conclusion: OSR of failing grafts has better outcomes than EVT or conservative management in treating failing grafts.
목차
Abstract
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (26)
참고문헌 신청
1. [학술지(정기간행물)] - Nguyen LL / 2004 / Infrainguinal vein bypass graft revision: factors affecting long-term outcome / J Vasc Surg 40 : 916 ~ 923
2. [학술지(정기간행물)] - Avino AJ / 1999 / Surgical and endovascular intervention for infrainguinal vein graft stenosis / J Vasc Surg 29 : 60 ~ 70
3. [학술지(정기간행물)] - Landry GJ / 2002 / Long-term outcome of revised lower-extremity bypass grafts / J Vasc Surg 35 : 56 ~ 62
4. [학술지(정기간행물)] - Veith FJ / 1984 / Diagnosis and management of failing lower extremity arterial reconstructions prior to graft occlusion / J Cardiovasc Surg 25 : 381 ~ 384
5. [학술지(정기간행물)] - Berceli SA / 2009 / Revision of vein bypass grafts: factors affecting durability of interventions / Semin Vasc Surg 22 : 261 ~ 266
2. [학술지(정기간행물)] - Avino AJ / 1999 / Surgical and endovascular intervention for infrainguinal vein graft stenosis / J Vasc Surg 29 : 60 ~ 70
3. [학술지(정기간행물)] - Landry GJ / 2002 / Long-term outcome of revised lower-extremity bypass grafts / J Vasc Surg 35 : 56 ~ 62
4. [학술지(정기간행물)] - Veith FJ / 1984 / Diagnosis and management of failing lower extremity arterial reconstructions prior to graft occlusion / J Cardiovasc Surg 25 : 381 ~ 384
5. [학술지(정기간행물)] - Berceli SA / 2009 / Revision of vein bypass grafts: factors affecting durability of interventions / Semin Vasc Surg 22 : 261 ~ 266
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UCI(KEPA) : I410-ECN-0101-2014-514-000804382