Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1393
10
1
gregorian
2015
1
1
29
1
online
1
fulltext
en
Surgical infrainguinal revascularization for peripheral arterial disease: factors affecting patency rate
Surgery
Surgery
Original Research
Original Research
<p dir="ltr"><strong>Background: </strong>Peripheral arterial disease is a source of morbidity and mortality. Surgical vascular reconstruction is a treatment option but probability of failure and complications are important concerns. In this study, we evaluated outcome of surgical infrainguinal reconstruction and factors affecting graft patency for a period of one year.</p>
<p dir="ltr"><strong>Methods</strong>: In this cohort study, 85 consecutive patients with chronic ischemia who underwent lower extremity surgical vascular reconstruction (including 52 femoropopliteal and 25 femorofemoral bypass) from March 2007 to Feb 2009 were recruited. Graft patency was evaluated before discharge from hospital and one year after the surgical operation using duplex ultrasonography. Association between possible risk factors and graft patency were evaluated.</p>
<p dir="ltr"><strong>Results</strong>: In general, 71% (37 patients) of femoropopliteal and 52% (13 patients) of femorofemoral reconstructions were patent during the follow up period. Diabetes mellitus, hypertension, smoking, opium use and ischemic heart disease were significantly associated with decreased rate of patency (p<0.05).</p>
<p dir="ltr"><strong>Conclusion</strong>: Assessing risk factors that predict perioperative mortality and graft patency is essential for selecting patients that would benefit from surgery. Omitting surgical reconstruction and endovascular intervention may be preferable especially when multiple risk factors are present or in the absence of critical limb ischemia.</p>
Outcome, Surgical reconstruction, Peripheral vascular disease, Infrainguinal bypass.
1049
1053
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-904&slc_lang=en&sid=1
Ali
Jafarian
jafarian@tums.ac.ir
200319475328460019214
200319475328460019214
No
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Fezzeh
Elyasinia
elyasiniaf@gmail.com
200319475328460019215
200319475328460019215
Yes
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza
Keramati
dr_morezak@yahoo.com
200319475328460019216
200319475328460019216
No
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Farham
Ahmadi
200319475328460019217
200319475328460019217
No
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Reza
Parsaei
parsaeir@irimc.org
200319475328460019218
200319475328460019218
No
Department of General Surgery, Tehran University of Medical Sciences, Tehran, Iran.