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Early and late outc...
Early and late outcomes of hybrid endovascular and open repair procedures in patients with peripheral arterial disease
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Balaz, Peter (författare)
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Rokosny, Slavomir (författare)
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Wohlfahrt, Peter (författare)
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Adamec, Milos (författare)
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Janousek, Libor (författare)
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- Björck, Martin (författare)
- Uppsala universitet,Kärlkirurgi
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(creator_code:org_t)
- Hogrefe Publishing Group, 2013
- 2013
- Engelska.
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Ingår i: VASA. - : Hogrefe Publishing Group. - 0301-1526 .- 1664-2872. ; 42:4, s. 292-300
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Hybrid endovascular and open reconstructions are used increasingly often for multilevel revascularization for lower limb ischaemia. The aim was to evaluate outcomes after such procedures in a single-center non-randomized retrospective study. Patients and methods: Consecutive patients with multilevel arterial disease who underwent single session hybrid procedures were analyzed depending on the type of ischaemia and the type of revascularization. Results: 164 patients were included with a median follow up time of 14 months (range: 0 - 70). Indication was claudication (group 1, 47 %), critical limb ischaemia (group 2, 33 %) and acute limb ischaemia (group 3, 20 %). Technical success rate was 99.3%, perioperative mortality 2%. Primary, assisted-primary and secondary patency rates at one year were 60%, 61% and 64%, respectively. Primary, primary assisted and secondary patency were lower in group 2 and 3 compared to group 1 (all p < 0.05). Results were better when endovascular repairs were performed above compared to below the open repair site (all p < 0.05). Limb salvage at 1 year in groups 1 - 3 were 98%, 92% and 90%, respectively. The risk of major amputation was highest in group 3 compared to group 1 (p = 0.001) or group 2 (p < 0.04). Conclusions: The results depend on the type of ischaemia and the localization of endovascular procedures.
Nyckelord
- Hybrid procedure
- angioplasty
- bypass
- peripheral arterial disease
- limb ischaemia
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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