Meta-analysis of alternate autologous vein bypass grafts to infrapopliteal arteries

Albers, Maximiano; Romiti, Marcello; Brochado-Neto, Francisco Cardoso; Pereira, Carlos Alberto de Bragança

doi:10.1016/j.jvs.2005.05.031

Cited by 141 publications

(109 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2 It could be supposed that prolonged heparin bioactivity on the graft surface can somehow influence the formation of anastomotic myointimal hyperplasia; particularly, longterm patency rates may be significantly affected by reduced thrombus accumulation in the first several months after implant. 5 It could be hypothesized that sustained heparin activity may reduce thrombus accumulation, thereby decreasing the scaffold available for both midgraft and anastomotic remodeling events.…”

Section: Discussionmentioning

confidence: 99%

Lower Limb Revascularization with a New Bioactive Prosthetic Graft: Early and Late Results

Dorigo

Carlo

Troisi

et al. 2008

Annals of Vascular Surgery

View full text Add to dashboard Cite

The aim of the study was to evaluate the immediate and long-term results of femoropopliteal bypasses performed with a new bioactive heparin-treated expanded polytetrafluoroethylene (ePTFE) graft in a single-center experience. From March 2002 to April 2006, 51 patients underwent lower limb revascularization with a new bioactive ePTFE prosthetic graft with covalent endpoint attachment of heparin to the graft surface. Data concerning preoperative assessment, intraoperative strategy, drug administration, and follow-up surveillance program were prospectively collected in a dedicated database; early results were analyzed in terms of graft patency, amputation rate, and deaths. Follow-up consisted of clinical and duplex scan examination at 1, 6, and 12 months and yearly thereafter. Midterm results in terms of primary and secondary patency, limb salvage, and survival were analyzed. Patients were predominantly male (35 patients, 71%), with a mean age of 71 years (SD ¼ 9.05). Indications for surgical revascularization were critical limb ischemia in 36 patients and severe intermittent claudication in 15 patients. Interventions were performed for occlusion of a native vessel in 35 cases, whereas 12 patients had late thrombosis of a femoropopliteal bypass; the remaining four patients were operated on for an occluded popliteal artery aneurysm. Intervention consisted of below-knee bypass in 34 patients, while the other 17 had an above-knee revascularization. No perioperative deaths occurred. Cumulative 30-day graft patency was 88%, with an amputation rate of 4% (two cases). Results were similar in above-and below-knee revascularizatons. Mean duration of follow-up was 18 months (SD ¼ 7). Cumulative estimated 24-month survival and primary patency rates were 97% and 80.2%, respectively; the corresponding limb salvage rate was 85.7%. Long-term results did not significantly differ in above-and below-knee revascularizatons. In our experience, the use of a modified ePTFE graft with covalent end-point linkage of heparin molecules on the graft surface provides good early and midterm results, with low rates of graft thrombosis and amputation.

show abstract

Section: Discussionmentioning

confidence: 99%

Lower Limb Revascularization with a New Bioactive Prosthetic Graft: Early and Late Results

Dorigo

Carlo

Troisi

et al. 2008

Annals of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…The most common treatment methods include artery bypass and balloon angioplasty. Those physicians, who usually prefer artery bypass surgery, are also well aware of long term anatomical patency and clinical durability (7).…”

Section: Methodsmentioning

confidence: 99%

Long Term Effects of Below-the-Knee Angioplasty in Diabetic Patients with Critical Ischemia of Lower Limbs Referred to Sina Hospital During 2010-2011

Zafarghandi¹,

Nazari²,

Taghavi³

et al. 2015

Polish Journal of Surgery

View full text Add to dashboard Cite

Despite significant advances in the treatment of diabetic foot ulcers and below-the-knee critical ischemia, there are ongoing efforts to achieve a method with low complication, high success rate and persistence of long-term effects.was to examine the outcome of angioplasty in patients with below-the-knee critical ischemia referred to Hospital.. This semi-experimental study conducted on diabetics patients treated with PTA (Percutaneous transluminal angioplasty) with critical ischemia of lower limbs referred to Sina Hospital. After discharge, the patients were followed weekly for the first month and then monthly up to 12 months. The procedure short-term effects were examined through evaluation of wound healing as well as patients' recovery and pain relief, after one month. Given the distribution type, parametric and non-parametric test were used to compare the results before and after treatment. Pearson's correlation coefficient was used to determine the correlation between variables.. Twenty four patients participated in this study. The mean ankle-brachial index (ABI) at baseline was 0.55±0.17. A month after angioplasty, the index increased statistically significant to 0.93±0.16. The mean health score expressed by the patients at baseline was 5.48±1.39. A month after angioplasty, it was significantly increased (6.32±1.24). The mean pain score before enrollment was 6.68±2.52 (according to VAS scale). There was a significant decrease over time (3.45±1.13). The overall mean score of all patients at Rutherford Classification was 3.88±0.63 at baseline. During the 1st month and 6th month follow-up, it was changed to Class 0 that was statistically significant in the first month.. This study represents the mid-term outcomes of PTA. Although PTA treatment was associated with improved pain scores, satisfaction with health, classification of limb ischemia and diabetic foot ulcers, the effects only remain short-term and mid-term. However, long-term efficacy of PTA needs to be investigated further.

show abstract

“…Pirminis veikimas po 5 metų siekė 31 proc., antrinis veikimas -40 proc., pėdą pavykdavo išsaugoti 56 proc. atvejų [49]. Rezultatai buvo kiek geresni, kai, be šuntavimo, papildomai buvo atliekamos papildomos procedūros distalinėje šunto jungties vietoje, t. y. suformuojami specialūs lopai autovenos dalimi, arterioveninės fistulės ir kt.…”

Section: Medikamentinė Terapija Antikoaguliantaiunclassified

Periferinių Arterijų Okliuzinės Ligos Ypatumai Sergant Cukriniu Diabetu: Literatūros Apžvalga

Navickienė¹,

Builytė²

2014

Medicinos Teorija Ir Praktika

View full text Add to dashboard Cite

Reikšminiai žodžiai: cukrinis diabetas, periferinių arterijų okliuzinė liga, arterijų rekonstrukcija. Viena didžiausių senstančios visuomenės problemų yra aterosklerozė ir cukrinio diabeto sukeltos komplikacijos. Aterosklerozės klinikinės išraiškos yra išeminė širdies liga, galvos smegenų išemija ir periferinių arterijų okliuzinė liga. Cukrinis diabetas, amžius, rūkymas ir lytis yra svarbiausi rizikos veiksniai periferinių arterijų okliuzinei ligai išsivystyti ir progresuoti. Atlikta daugelis studijų, nagrinėjančių periferinių arterijų okliuzinės ligos progresavimą, tačiau iki šiol tyrimai negali pateikti vienareikšmio atsakymo, kokie rizikos veiksniai yra svarbiausi ir turi daugiausia įtakos periferinių arterijų okliuzinės ligos vystymuisi sergančių cukriniu diabetu pacientų grupėje. Šiame straipsnyje apibendriname svarbiausius gretutinius rizikos veiksnius, ligos ypatumus, klinikinius ligos pasireiškimus, pagrindinius diagnostikos ir gydymo pasirinkimo metodus pacientams, sergantiems cukriniu diabetu ir periferinių arterijų okliuzine liga. Metodai. Surinkta ir apibendrinta literatūra, apžvelgianti periferinių arterijų okliuzinės ligos pasireiškimą, diagnostikos ir gydymo metodus pacientams, sergantiems cukriniu diabetu. Išvados. Būtini tolesni randomizuoti tyrimai, kurie leistų sudaryti gydymo algoritmą pacientams, sergantiems cukriniu diabetu ir periferinių arterijų okliuzine liga.

show abstract

Meta-analysis of alternate autologous vein bypass grafts to infrapopliteal arteries

Abstract: When the greater saphenous vein is unavailable, alternate autologous veins are preferable to other graft materials in bypass surgery to infrapopliteal arteries.

Cited by 141 publications

References 35 publications

Lower Limb Revascularization with a New Bioactive Prosthetic Graft: Early and Late Results

Lower Limb Revascularization with a New Bioactive Prosthetic Graft: Early and Late Results

Long Term Effects of Below-the-Knee Angioplasty in Diabetic Patients with Critical Ischemia of Lower Limbs Referred to Sina Hospital During 2010-2011

Periferinių Arterijų Okliuzinės Ligos Ypatumai Sergant Cukriniu Diabetu: Literatūros Apžvalga

Contact Info

Product

Resources

About