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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1999 Dicembre;40(6):845-7

VASCULAR PAPERS 

 ORIGINAL ARTICLES

Does saph­e­nous ­vein arte­ri­al­isa­tion pre­vent ­major ampu­ta­tion in crit­i­cal leg ischae­mia? A com­par­a­tive ­study

Matzke S., Pitkanen J.*, Lepantalo M.

From the Division of Vascular Surgery Department of Surgery Helsinki University Central Hospital
*Peijas Hospital, Vantaa, Finland

Background. Arterialisation of the ­great saph­e­nous ­vein has ­been sug­gest­ed to ­improve dis­tal cir­cu­la­tion in ­patients ­with crit­i­cal leg ischae­mia not access­ible for recon­struc­tive sur­gery. As the tech­nique has ­been a mat­ter of con­tro­ver­sy the aim was to ­assess the out­come of a ­series of own ­patients treat­ed ­with arte­ri­al­isa­tion and com­pare ­them ­with con­ser­va­tive­ly treat­ed ­patients.
Methods. Experimental ­design: a ret­ro­spec­tive ­cohort ­study. Setting: an aca­dem­ic refer­ral cen­tre (Department of Surgery, Helsinki University Central Hospital) togeth­er ­with a dis­trict hos­pi­tal (Peijas-Rekola Hospital). Patients and interventions: 14 con­sec­u­tive ­patients ­with crit­i­cal leg ischae­mia treat­ed ­with arte­ri­al­isa­tion of the ­great saph­e­nous ­vein in the dis­trict hos­pi­tal ­were com­pared ­with 14 age, sex, dia­betes and symp­tom sever­ity-­matched con­trols ­with crit­i­cal leg ischae­mia treat­ed con­ser­va­tive­ly in the aca­dem­ic refer­ral cen­tre. Measures: ­major ampu­ta­tions and ­patient sur­vi­val.
Results. The leg sal­vage ­rate was 57% at one ­year in the arte­ri­al­isa­tion ­group and 54% in the con­ser­va­tive ­group (NS) but the sur­vi­val ­rate at one ­year was 92% in the oper­a­tive ­group and 64% in the con­trol ­group (NS).
Conclusions. Arterialisation did not ­have any ­effect on leg sal­vage. The ­results of ­this ­study do not sup­port the use of arte­ri­al­isa­tion as a treat­ment for crit­i­cal leg ischae­mia.

lingua: Inglese


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