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How to compare results from open with endovascular procedures?
- Source :
- The Journal of Cardiovascular Surgery. 61
- Publication Year :
- 2020
- Publisher :
- Edizioni Minerva Medica, 2020.
-
Abstract
- Background According to the guidelines, bypass surgery is still the golden standard treatment in patients with femoropopliteal TASC C and D lesions and life-style limiting claudication or critical limb ischemia. Over the past few decades, endovascular therapy has made great advancements. However, the success rates of surgical and endovascular procedures cannot be directly compared. According to the surgical term "patency," vessel patency can be maintained even in case of a high grade stenosis, whereas according to the endovascular primary patency definition, being binary restenosis, patency is lost from the moment there is a re-narrowing at any location within the treated segment. Methods One hundred consecutive patients with a previously implanted femoropopliteal bypass which was primary patent according to the surgical definition were included in this study. Once enrolled, duplex ultrasonography was performed, measuring the Peak Systolic Velocity Ratio for proximal and distal anastomosis. Results Out of the 100 bypasses that were considered patent according to the surgical definition, Peak Velocity Ratio of ≥2.4 were detected in 11 patients. Conclusions Based on these findings a 78% primary patency according to the open vascular criteria turned into ~70% primary patency using the stricter endovascular criteria. In the light of these findings, one might conclude that modern endovascular treatment of long TASC C and D femoropopliteal lesions yielded similar results in terms of primary patency as above-the-knee bypasses.
- Subjects :
- Male
Duplex ultrasonography
medicine.medical_specialty
Databases, Factual
medicine.medical_treatment
030204 cardiovascular system & hematology
Anastomosis
Risk Assessment
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Restenosis
Angioplasty
Humans
Medicine
Popliteal Artery
Ultrasonography, Interventional
Vascular Patency
Retrospective Studies
business.industry
Anastomosis, Surgical
Endovascular Procedures
Graft Occlusion, Vascular
General Medicine
Critical limb ischemia
Intermittent Claudication
Middle Aged
Prognosis
medicine.disease
Surgery
Femoral Artery
Stenosis
Treatment Outcome
030228 respiratory system
Bypass surgery
Female
Patient Safety
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Claudication
Vascular Surgical Procedures
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 1827191X and 00219509
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- The Journal of Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....71a9a75eddba5ae431a39dcd82564c50