Branched crural bypass has no advantage over simple crural bypass in the treatment of peripheral arterial disease

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F17%3A10363960" target="_blank" >RIV/00064165:_____/17:10363960 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/17:10363960

Výsledek na webu

<a href="http://www.ijcem.com/files/ijcem0046290.pdf" target="_blank" >http://www.ijcem.com/files/ijcem0046290.pdf</a>

DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Branched crural bypass has no advantage over simple crural bypass in the treatment of peripheral arterial disease

Popis výsledku v původním jazyce

This retrospective study compared mid-term outcome of a simple crural bypass (SCB, n= 72) and branched crural bypass (BCB, n= 23) constructed with reverse or in situ saphenous grafts or prosthetic grafts in patients with peripheral arterial disease grade III to IV (Fontaine classification) and type D lesions (TASC II classification). Life table analysis showed comparable primary (P=0.83), assisted (P=0.76), and secondary patency rates (P=0.78), limb salvage rates (P=0.64), and survival rates (P=0.81) between BCB and SCB. Comparison between the saphenous vein grafts and prosthetic grafts showed better primary (P=0.0089), assisted (P=0.0013), and secondary patency rates (P=0.0089) where venous grafts were used, but not limb salvage rates (P=.072). In the SCB group, anastomoses to the anterior tibial artery had worse primary (P=0.023), assisted (P=0.035), and secondary (P=0.042) patency rates, but comparable limb salvage rates(P=0.57). We conclude that BCB provides no advantage but also no additional risk for the patient. When choosing a target crural artery, evidence shows the posterior tibial artery or fibular artery should be preferred to the anterior tibial artery.

Název v anglickém jazyce

Branched crural bypass has no advantage over simple crural bypass in the treatment of peripheral arterial disease

Popis výsledku anglicky

This retrospective study compared mid-term outcome of a simple crural bypass (SCB, n= 72) and branched crural bypass (BCB, n= 23) constructed with reverse or in situ saphenous grafts or prosthetic grafts in patients with peripheral arterial disease grade III to IV (Fontaine classification) and type D lesions (TASC II classification). Life table analysis showed comparable primary (P=0.83), assisted (P=0.76), and secondary patency rates (P=0.78), limb salvage rates (P=0.64), and survival rates (P=0.81) between BCB and SCB. Comparison between the saphenous vein grafts and prosthetic grafts showed better primary (P=0.0089), assisted (P=0.0013), and secondary patency rates (P=0.0089) where venous grafts were used, but not limb salvage rates (P=.072). In the SCB group, anastomoses to the anterior tibial artery had worse primary (P=0.023), assisted (P=0.035), and secondary (P=0.042) patency rates, but comparable limb salvage rates(P=0.57). We conclude that BCB provides no advantage but also no additional risk for the patient. When choosing a target crural artery, evidence shows the posterior tibial artery or fibular artery should be preferred to the anterior tibial artery.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

<a href="/cs/project/NV15-27941A" target="_blank" >NV15-27941A: Využití neantigenního rybího kolagenu při konstrukci implantátů a jako nosiče léků</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Clinical and Experimental Medicine

ISSN

1940-5901

e-ISSN

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Svazek periodika

10

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

7859-7866

Kód UT WoS článku

000402294200054

EID výsledku v databázi Scopus

2-s2.0-85019695268