개인구독
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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 Annals of Surgical Treatment and Research Vol.87 No.1
- 발행연도
- 2014.6
- 수록면
- 35 - 40 (6page)
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초록· 키워드
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Purpose: Infrainguinalfemoropopliteal bypass (IFPB) is recommended to peripheral arterial disease (PAD) with a long occlusion of the superficial femoral artery (SFA). The aims of our study were to determine the patency of graft materials, and identify the risk factors of graft failure.
Methods: From January 1995 to April 2011, we had performed 380 IFPBs in 351 patients, including 302 femoro-above the knee (AK) bypasses and 78 femoro-below the knee (BK) bypasses. We compare age, sex, severity of ischemia between polytetra-uoroethylene (PTFE) graft and saphenous vein (SV) graft, and evaluate patency rate rates of the two groups.
Results: The primary patency rates at 5 years for SV (n = 76 limbs) and PTFE grafts (n = 226 limbs) in AK were 85.2% and 64.5% (log rank = 0.03), and the secondary patency rates at 5 years for SV and PTFE grafts in AK were 88.2% and 79.0% (log rank = 0.13). The primary patency rates at 5 years for SV (n = 50 limbs) and PTFE grafts (n = 28 limbs) in BK were 63.2% and 40.0% (log rank = 0.08), and the secondary patency rates at 5 years for SV and PTFE grafts in BK were 71.6% and 55.5% (log rank = 0.18).
Conclusion: There was no statistical significant difference in secondary patency rates between SV and PTFE in IFPB. PTFE grafts as SV grafts can be a good alternative bypass material in IFPB instead of SV grafts.
Methods: From January 1995 to April 2011, we had performed 380 IFPBs in 351 patients, including 302 femoro-above the knee (AK) bypasses and 78 femoro-below the knee (BK) bypasses. We compare age, sex, severity of ischemia between polytetra-uoroethylene (PTFE) graft and saphenous vein (SV) graft, and evaluate patency rate rates of the two groups.
Results: The primary patency rates at 5 years for SV (n = 76 limbs) and PTFE grafts (n = 226 limbs) in AK were 85.2% and 64.5% (log rank = 0.03), and the secondary patency rates at 5 years for SV and PTFE grafts in AK were 88.2% and 79.0% (log rank = 0.13). The primary patency rates at 5 years for SV (n = 50 limbs) and PTFE grafts (n = 28 limbs) in BK were 63.2% and 40.0% (log rank = 0.08), and the secondary patency rates at 5 years for SV and PTFE grafts in BK were 71.6% and 55.5% (log rank = 0.18).
Conclusion: There was no statistical significant difference in secondary patency rates between SV and PTFE in IFPB. PTFE grafts as SV grafts can be a good alternative bypass material in IFPB instead of SV grafts.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Norgren L. / 2007 / Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) / Eur J Vasc Endovasc Surg 33 (Suppl 1) : S1 ~ S75
2. [학술지(정기간행물)] - Bradbury AW. / 2010 / Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: analysis of amputation free and overall survival by treatment received / J Vasc Surg 51 (5 Suppl) : 18S ~ 31S
3. [학술지(정기간행물)] - Twine CP. / 2010 / Graft type for femoro-popliteal bypass surgery / Cochrane Database Syst Rev (5) : CD001487 ~
4. [학술지(정기간행물)] - Kim DI. / 2003 / Vascular clips as a landmark for sites of anastomosis / Surg Today 33 : 78 ~ 79
5. [학술지(정기간행물)] - Berglund J. / 2005 / Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material / Eur J Vasc Endovasc Surg 29 : 412 ~ 418
2. [학술지(정기간행물)] - Bradbury AW. / 2010 / Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: analysis of amputation free and overall survival by treatment received / J Vasc Surg 51 (5 Suppl) : 18S ~ 31S
3. [학술지(정기간행물)] - Twine CP. / 2010 / Graft type for femoro-popliteal bypass surgery / Cochrane Database Syst Rev (5) : CD001487 ~
4. [학술지(정기간행물)] - Kim DI. / 2003 / Vascular clips as a landmark for sites of anastomosis / Surg Today 33 : 78 ~ 79
5. [학술지(정기간행물)] - Berglund J. / 2005 / Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material / Eur J Vasc Endovasc Surg 29 : 412 ~ 418
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UCI(KEPA) : I410-ECN-0101-2015-510-001669978