Long-Term Comparison of Endoscopic Versus Open Saphenous Vein Harvest for Femoral-to-Popliteal Artery Bypass

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F23%3A00130748" target="_blank" >RIV/00216224:14110/23:00130748 - isvavai.cz</a>

Výsledek na webu

<a href="https://link.springer.com/article/10.1007/s12262-023-03745-9" target="_blank" >https://link.springer.com/article/10.1007/s12262-023-03745-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s12262-023-03745-9" target="_blank" >10.1007/s12262-023-03745-9</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Long-Term Comparison of Endoscopic Versus Open Saphenous Vein Harvest for Femoral-to-Popliteal Artery Bypass

Popis výsledku v původním jazyce

Application of endoscopic vein harvest (EVH) in infrainguinal bypass surgery generated mixed results. The purpose of this study was to compare outcomes between endoscopic vein harvest and open vein harvest (OVH) in femoral-to-popliteal artery bypass (FPB). Case series analysis that involved all patients undergoing femoral-to-popliteal artery bypass with single-segment great saphenous vein between January 2012 and December 2017. There were 170 femoral-to-popliteal artery bypasses performed in 168 patients who met the inclusion criteria; 25 (14.7%) in EVH group and 145 (85.3%) in OVH group. Chronic limb-threatening ischemia was an indication for surgery in 60% of EVH patients and 79% of OVH patients (15/25; 60% EVH vs 114/145; 79% OVH; p = .08). Mean follow-up was significantly longer for EVH group (65.71 months EVH vs 45.32 months OVH; p = .003). EVH group had a lower wound complication rate (4/25; 16% EVH vs 45/145; 31% OVH; p = .336), especially at the harvest incision site, despite higher rate of obesity amongst EVH patients (15/25; 60% EVH vs 35/145; 24% OVH; p &lt; .001). The reintervention rate was higher in EVH group (10/25; 40% EVH vs 42/145; 29% OVH; p = .38). At 5 years, primary (69.1% EVH vs 67.0% OVH; p = .85), primary assisted (87.6% EVH vs 73.5% OVH; p = .18), and secondary patency rates (87.3% EVH vs 76.7% OVH; p = .25) did not demonstrate significant differences between the groups. Endoscopic vein harvest for femoral-to-popliteal artery bypass decreased the rate and severity of wound complications, but this difference was statistically insignificant. Obese patients are more suitable for endoscopic vein harvest, with relatively lower chances of developing wound infections. Despite the higher rate of reinterventions, endoscopic vein harvest patency rates were in line with those for the open vein harvest group in up to 5 years of follow-up.

Název v anglickém jazyce

Long-Term Comparison of Endoscopic Versus Open Saphenous Vein Harvest for Femoral-to-Popliteal Artery Bypass

Popis výsledku anglicky

Application of endoscopic vein harvest (EVH) in infrainguinal bypass surgery generated mixed results. The purpose of this study was to compare outcomes between endoscopic vein harvest and open vein harvest (OVH) in femoral-to-popliteal artery bypass (FPB). Case series analysis that involved all patients undergoing femoral-to-popliteal artery bypass with single-segment great saphenous vein between January 2012 and December 2017. There were 170 femoral-to-popliteal artery bypasses performed in 168 patients who met the inclusion criteria; 25 (14.7%) in EVH group and 145 (85.3%) in OVH group. Chronic limb-threatening ischemia was an indication for surgery in 60% of EVH patients and 79% of OVH patients (15/25; 60% EVH vs 114/145; 79% OVH; p = .08). Mean follow-up was significantly longer for EVH group (65.71 months EVH vs 45.32 months OVH; p = .003). EVH group had a lower wound complication rate (4/25; 16% EVH vs 45/145; 31% OVH; p = .336), especially at the harvest incision site, despite higher rate of obesity amongst EVH patients (15/25; 60% EVH vs 35/145; 24% OVH; p &lt; .001). The reintervention rate was higher in EVH group (10/25; 40% EVH vs 42/145; 29% OVH; p = .38). At 5 years, primary (69.1% EVH vs 67.0% OVH; p = .85), primary assisted (87.6% EVH vs 73.5% OVH; p = .18), and secondary patency rates (87.3% EVH vs 76.7% OVH; p = .25) did not demonstrate significant differences between the groups. Endoscopic vein harvest for femoral-to-popliteal artery bypass decreased the rate and severity of wound complications, but this difference was statistically insignificant. Obese patients are more suitable for endoscopic vein harvest, with relatively lower chances of developing wound infections. Despite the higher rate of reinterventions, endoscopic vein harvest patency rates were in line with those for the open vein harvest group in up to 5 years of follow-up.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

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

Název periodika

INDIAN JOURNAL OF SURGERY

ISSN

0972-2068

e-ISSN

0973-9793

Svazek periodika

85

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

IN - Indická republika

Počet stran výsledku

8

Strana od-do

1366-1373

Kód UT WoS článku

000960626000003

EID výsledku v databázi Scopus

2-s2.0-85151298985