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- Publisher Website: 10.1046/j.1440-1622.2001.02122.x
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- PMID: 11409017
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Article: Long-term prognosis of femoropopliteal bypass: An analysis of 349 consecutive revascularizations
Title | Long-term prognosis of femoropopliteal bypass: An analysis of 349 consecutive revascularizations |
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Authors | |
Keywords | Atherosclerosis Patency Peripheral vascular disease Survival |
Issue Date | 2001 |
Publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS |
Citation | Anz Journal Of Surgery, 2001, v. 71 n. 6, p. 335-340 How to Cite? |
Abstract | Background: Femoropopliteal bypass is the commonest procedure for lower limb revascularization. The aim of the present study was to determine the long-term outcomes of femoropopliteal bypass and evaluate the prognostic significance of various clinical factors on the long-term results. Methods: From 1976 to 1998, 349 consecutive primary femoropopliteal bypass operations were performed on 314 patients at the University of Hong Kong Medical Centre. Indications for operation included claudication (n = 85) and limb-threatening ischaemia (n = 264). Univariate and multivariate analyses of 14 clinical variables were undertaken to identify significant prognostic factors affecting the graft patency, limb salvage and patient survival rates. Results: The overall primary patency rates of femoropopliteal bypass were 88%, 79% and 76% at 1, 3 and 5 years, respectively. Type of graft material and age of patient were independent prognostic factors of graft patency. The cumulative limb salvage rates were 90%, 86% and 86% at 1, 3 and 5 years, respectively. No clinical factor was found to be predictive of ultimate limb loss. The overall survival rates were 89%, 85% and 78% at 1, 3 and 5 years, respectively. Coronary artery disease was the main cause of late death. Gender and indication for operation were the significant predictive factors of long-term survival. Conclusions: Femoropopliteal bypass using reversed long saphenous vein provided the most durable long-term patency. Autologous saphenous vein should be the choice of vascular conduit if available. Male gender and limb-threatening ischaemia were associated with a poor survival. |
Persistent Identifier | http://hdl.handle.net/10722/83423 |
ISSN | 2023 Impact Factor: 1.5 2023 SCImago Journal Rankings: 0.453 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
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dc.contributor.author | Lau, H | en_HK |
dc.contributor.author | Cheng, SWK | en_HK |
dc.date.accessioned | 2010-09-06T08:40:52Z | - |
dc.date.available | 2010-09-06T08:40:52Z | - |
dc.date.issued | 2001 | en_HK |
dc.identifier.citation | Anz Journal Of Surgery, 2001, v. 71 n. 6, p. 335-340 | en_HK |
dc.identifier.issn | 1445-1433 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83423 | - |
dc.description.abstract | Background: Femoropopliteal bypass is the commonest procedure for lower limb revascularization. The aim of the present study was to determine the long-term outcomes of femoropopliteal bypass and evaluate the prognostic significance of various clinical factors on the long-term results. Methods: From 1976 to 1998, 349 consecutive primary femoropopliteal bypass operations were performed on 314 patients at the University of Hong Kong Medical Centre. Indications for operation included claudication (n = 85) and limb-threatening ischaemia (n = 264). Univariate and multivariate analyses of 14 clinical variables were undertaken to identify significant prognostic factors affecting the graft patency, limb salvage and patient survival rates. Results: The overall primary patency rates of femoropopliteal bypass were 88%, 79% and 76% at 1, 3 and 5 years, respectively. Type of graft material and age of patient were independent prognostic factors of graft patency. The cumulative limb salvage rates were 90%, 86% and 86% at 1, 3 and 5 years, respectively. No clinical factor was found to be predictive of ultimate limb loss. The overall survival rates were 89%, 85% and 78% at 1, 3 and 5 years, respectively. Coronary artery disease was the main cause of late death. Gender and indication for operation were the significant predictive factors of long-term survival. Conclusions: Femoropopliteal bypass using reversed long saphenous vein provided the most durable long-term patency. Autologous saphenous vein should be the choice of vascular conduit if available. Male gender and limb-threatening ischaemia were associated with a poor survival. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS | en_HK |
dc.relation.ispartof | ANZ Journal of Surgery | en_HK |
dc.subject | Atherosclerosis | en_HK |
dc.subject | Patency | en_HK |
dc.subject | Peripheral vascular disease | en_HK |
dc.subject | Survival | en_HK |
dc.title | Long-term prognosis of femoropopliteal bypass: An analysis of 349 consecutive revascularizations | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-8682&volume=71&spage=335&epage=340&date=2001&atitle=Long-term+prognosis+of+femoropopliteal+bypass:+an+analysis+of+349+consecutive+revascularizations | en_HK |
dc.identifier.email | Cheng, SWK: wkcheng@hkucc.hku.hk | en_HK |
dc.identifier.authority | Cheng, SWK=rp00374 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1046/j.1440-1622.2001.02122.x | - |
dc.identifier.pmid | 11409017 | en_HK |
dc.identifier.scopus | eid_2-s2.0-0035377086 | en_HK |
dc.identifier.hkuros | 58586 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0035377086&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 71 | en_HK |
dc.identifier.issue | 6 | en_HK |
dc.identifier.spage | 335 | en_HK |
dc.identifier.epage | 340 | en_HK |
dc.identifier.isi | WOS:000169487200005 | - |
dc.publisher.place | Australia | en_HK |
dc.identifier.scopusauthorid | Lau, H=7201497812 | en_HK |
dc.identifier.scopusauthorid | Cheng, SWK=7404684779 | en_HK |
dc.identifier.issnl | 1445-1433 | - |