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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 23 - 26 (4page)
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Purpose: Endovascular treatment for peripheral arterial obstructive disease (PAOD) is replacing traditional arterial bypass in the western world. Yet there are few reports to evaluate the pattern of clinical practice pattern for PAOD in Korea. This study was conducted to evaluate the treatment pattern for PAOD between endovascular treatment and arterial bypass, and to compare their clinical characteristics.
Methods: We conducted a retrospective study on the prospectively maintained database of patients who underwent endovascular treatment and arterial bypass for PAOD from March 2005 to December 2009 in Inha University Hospital. The aortoiliac lesions and femoropopliteal lesions were categorized by the Trans Atlantic Inter-Society Consensus (TASC) II classifications. Their treatments and clinical characteristics were compared between the former period (2005∼2007 y) and the latter period (2008∼2009 y).
Results: Three hundred nine cases (178 patients) were treated for PAOD by either arterial bypass or endovascular treatment. The patients’ mean age was 69.1±11.3 year old. There was no difference in clinical characteristics between the two periods except for age. Endovascular treatments of both aortoiliac and femoropopliteal arterial lesions were increased in the latter period (P=0.023, P＜0.001). Also, the endovascular treatments were increased in the TASC C and D aortoiliac and femoropopliteal lesions in the latter period (P=0.020, P＜0.001).
Conclusion: Endovascular treatment for PAOD is increasing in clinical practice and this shows feasibility in critically ill patient with TASC C and D lesions, although arterial bypass is still important.
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참고문헌 (15)
참고문헌 신청
Nowygrod R / 2006 / Trends, complications, and mortality in peripheral vascular surger / J Vasc Surg 43:205~216
Anderson PL / 2004 / Understanding trends in inpatient surgical volume: vascular interventions, 1980-2000 / J Vasc Surg 39:1200~1208
Adam DJ / 2005 / Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial / Lancet 366:1925~1934
Hynes N / 2005 / The influence of subintimal angioplasty on level of amputation and limb salvage rates in lower limb critical ischaemia: a 15-year experience / Eur J Vasc Endovasc Surg 30:291~299
Schillinger M / 2007 / Sustained benefit at 2 years of primary femoropopliteal stenting compared with balloon angioplasty with optional stenting / Circulation 115:2745~2749
Anderson PL / 2004 / Understanding trends in inpatient surgical volume: vascular interventions, 1980-2000 / J Vasc Surg 39:1200~1208
Adam DJ / 2005 / Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial / Lancet 366:1925~1934
Hynes N / 2005 / The influence of subintimal angioplasty on level of amputation and limb salvage rates in lower limb critical ischaemia: a 15-year experience / Eur J Vasc Endovasc Surg 30:291~299
Schillinger M / 2007 / Sustained benefit at 2 years of primary femoropopliteal stenting compared with balloon angioplasty with optional stenting / Circulation 115:2745~2749
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