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.88 No.1
- 발행연도
- 2014.12
- 수록면
- 28 - 34 (7page)
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초록· 키워드
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Purpose: To analyze the long-term results of above-the-knee femoro-popliteal bypass (ATKFPB) with vein grafts compared with polytetrafluoroethylene (PTFE) grafts.
Methods: A database of patients with chronic atherosclerotic occlusive disease who underwent ATKFPB was retrospectively reviewed. Characteristics of patient and arterial lesion, and follow-up results were compared between vein grafts and PTFE grafts. Graft patency was determined by periodic examinations of duplex ultrasonography or CT angiograms. Graft patency and limb salvage rates were calculated using the Kaplan-Meier method.
Results: In total, 253 ATKFPBs (107 vein grafts; 146 PTFE grafts; critical limb ischemia, 32%) were performed on 228 patients (mean age, 68.5 years; male, 87.7%). No significant differences were observed between the two groups with respect to demographic characteristics, characteristics of arterial lesions, or distal runoff score. During the mean followup period of 41 months (range, 1?122 months), 14.5% patients died, and 94% of all limbs were available for follow-up. The primary patency rates were not significantly different between the two groups at 10 years after treatment (75% vs. 42%, P = 0.330). However, the primary-assisted patency rates (88% vs. 42%, P = 0.003) and secondary patency rates (91% vs. 49%, P = 0.013) were significantly higher in the vein grafts compared with the PTFE grafts. Graft occlusion developed more often in the PTFE grafts (5.6% vs. 20.5%, P = 0.001). When graft occlusion occurred, acute limb ischemia was significantly more frequent in the PTFE grafts than in the vein grafts (0% vs. 53%, P = 0.027).
Conclusion: After ATKFPB, autologous vein grafts showed significantly better long-term results compared with PTFE grafts.
Methods: A database of patients with chronic atherosclerotic occlusive disease who underwent ATKFPB was retrospectively reviewed. Characteristics of patient and arterial lesion, and follow-up results were compared between vein grafts and PTFE grafts. Graft patency was determined by periodic examinations of duplex ultrasonography or CT angiograms. Graft patency and limb salvage rates were calculated using the Kaplan-Meier method.
Results: In total, 253 ATKFPBs (107 vein grafts; 146 PTFE grafts; critical limb ischemia, 32%) were performed on 228 patients (mean age, 68.5 years; male, 87.7%). No significant differences were observed between the two groups with respect to demographic characteristics, characteristics of arterial lesions, or distal runoff score. During the mean followup period of 41 months (range, 1?122 months), 14.5% patients died, and 94% of all limbs were available for follow-up. The primary patency rates were not significantly different between the two groups at 10 years after treatment (75% vs. 42%, P = 0.330). However, the primary-assisted patency rates (88% vs. 42%, P = 0.003) and secondary patency rates (91% vs. 49%, P = 0.013) were significantly higher in the vein grafts compared with the PTFE grafts. Graft occlusion developed more often in the PTFE grafts (5.6% vs. 20.5%, P = 0.001). When graft occlusion occurred, acute limb ischemia was significantly more frequent in the PTFE grafts than in the vein grafts (0% vs. 53%, P = 0.027).
Conclusion: After ATKFPB, autologous vein grafts showed significantly better long-term results compared with PTFE grafts.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (24)
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)] - Bergan JJ. / 1982 / Randomization of autogenous vein and polytetrafluorethylene grafts in femoral-distal reconstruction / Surgery 92 : 921 ~ 930
3. [학술지(정기간행물)] - Londrey GL. / 1991 / Infrapopliteal bypass for severe ischemia : comparison of autogenous vein, composite, and prosthetic grafts / J Vasc Surg 13 : 631 ~ 636
4. [학술지(정기간행물)] - Sayers RD. / 1998 / Long-term results of femorotibial bypass with vein or polytetrafluoroethylene / Br J Surg 85 : 934 ~ 938
5. [학술지(정기간행물)] - Abbott WM. / 1997 / Prosthetic above-knee femoropopliteal bypass grafting: results of a multicenter randomized prospective trial. Above-Knee Femoropopliteal Study Group / J Vasc Surg 25 : 19 ~ 28
2. [학술지(정기간행물)] - Bergan JJ. / 1982 / Randomization of autogenous vein and polytetrafluorethylene grafts in femoral-distal reconstruction / Surgery 92 : 921 ~ 930
3. [학술지(정기간행물)] - Londrey GL. / 1991 / Infrapopliteal bypass for severe ischemia : comparison of autogenous vein, composite, and prosthetic grafts / J Vasc Surg 13 : 631 ~ 636
4. [학술지(정기간행물)] - Sayers RD. / 1998 / Long-term results of femorotibial bypass with vein or polytetrafluoroethylene / Br J Surg 85 : 934 ~ 938
5. [학술지(정기간행물)] - Abbott WM. / 1997 / Prosthetic above-knee femoropopliteal bypass grafting: results of a multicenter randomized prospective trial. Above-Knee Femoropopliteal Study Group / J Vasc Surg 25 : 19 ~ 28
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UCI(KEPA) : I410-ECN-0101-2016-514-001071554