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Superficial Femoral Artery Occlusion Reduces Aortofemoral Bypass Graft Patency
- Source :
- European Journal of Vascular and Endovascular Surgery. 57:650-657
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- OBJECTIVES The effect of superficial femoral artery (SFA) occlusion on long-term patency of aortofemoral bypasses (AFBs) for aortoiliac occlusive disease (AIOD) was examined. METHODS The AIOD database was reviewed to identify risk factors for AFB failure. The status of the SFA at AFB procedure was categorised as patent; diseased treated (DT), if the SFA occlusion was intervened on concomitant to AFB; or diseased untreated (DU), if the SFA was occluded but not revascularised. Censoring hierarchies for primary patency and patent graft survival time were constructed. Data were analysed by contingency table, Kaplan-Meier, and Cox regression analysis. RESULTS Between 2004 and 2015, 122 AFB (9 unifemoral, 113 bifemoral) for AIOD were performed. Seventy-five (61%) were female and the mean age was 60 ± 10 years. At the time of AFB, 50 (41%) had occluded SFAs (DT/DU). Of these, 15 had concomitant SFA revascularisation (i.e., DT) at the time of AFB. Patients with occluded SFAs had greater history of prior aortoiliac/infrainguinal procedures (aortoiliac 54% vs. 22%, infrainguinal 58% vs. 25%, both p
- Subjects :
- Male
Reoperation
medicine.medical_specialty
AORTOFEMORAL BYPASS
Urology
Renal function
Aortoiliac occlusive disease
Arterial Occlusive Diseases
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
030230 surgery
Iliac Artery
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Risk Factors
Median follow-up
Occlusion
Humans
Medicine
Aorta, Abdominal
Hospital Mortality
Vascular Patency
Aged
Retrospective Studies
business.industry
Proportional hazards model
Superficial femoral artery
Graft Occlusion, Vascular
Thrombosis
Middle Aged
medicine.disease
Femoral Artery
Concomitant
Female
Vascular Grafting
Surgery
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Glomerular Filtration Rate
Subjects
Details
- ISSN :
- 10785884
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- European Journal of Vascular and Endovascular Surgery
- Accession number :
- edsair.doi.dedup.....38c6c0f1fadfcc022711e9c13558fcb3