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Comparative analysi...
Comparative analysis of patency, limb salvage and survival in diabetic and non-diabetic patients undergoing infrainguinal bypass surgery
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- Karacagil, Sadettin (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Almgren, Bo (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Bowald, S. (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Bergqvist, David (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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(creator_code:org_t)
- 1995
- 1995
- English.
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In: Diabetic Medicine. - 0742-3071 .- 1464-5491. ; 12:6, s. 537-541
- Related links:
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https://urn.kb.se/re...
Abstract
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- In 92 diabetic and 175 non-diabetic patients undergoing 336 femoropopliteal or femorodistal bypass procedures, 1- and 3-year cumulative life-table patency, limb salvage, and survival rates were comparatively analysed. The peroperative mortality rate was significantly higher in diabetic patients (5% compared to 1.4%, p < 0.001). The cumulative graft patency rates were 61% at 12 months and 46% at 36 months in diabetic patients compared to 64 and 52% in non-diabetic patients. Significantly better patency rates were observed in limbs with good runoff compared to limbs with poor runoff in both groups. The limb salvage rates at 3 years were 70% in diabetic patients and 62% in non-diabetic patients. The survival rate at 3 years was significantly lower in diabetic patients, 62% compared to 86% in non-diabetic patients. Diabetic patients with poor runoff demonstrated a significantly lower survival rate after 36 months compared to diabetic patients with good runoff (48% and 74%, respectively). The results of this study demonstrate that the early and intermediate patency and limb salvage rates are similar in diabetic and non-diabetic patients. On the other hand the survival rate in diabetic patients, especially in those with poor distal runoff, is significantly lower than non-diabetic patients.
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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