Comparison of surgical treatment results of critical limb ischemia and analysis off actors influencing the outcome of surgical treatment
Abstract
Objective. To evaluate the results of surgical treatment of critical limb ischemia in two specialized vascular centers.
Materials and methods. The results of surgical treatment of 202 patients with critical lower limb ischemia, which were operated in two specialized vascular centers: I Group (76 patients) -ClinicofVascularSurgery at the Military Hospital, Ruzomberok,Slovak Republic; II Group (126 patients) -ClinicofVascularSurgery, EastSlovakInstituteofCardiovascularDiseases, Kosice, Slovak Republic.
Results.The patency of arterial reconstructions in I Group was: the femoro-supragenicular segment: 1 year -83%, 3 years - 73%;the infragenicular segment: 1 year - 68%, 3 years - 52%. In II Group -the femoro-supragenicular segment: 1 year - 91%, 3 years - 82%;the infragenicular segment: 1 year - 72%, 3 years - 64%.
Conclusion.The patency of arterial reconstructions during the first year in both vascular centers was without statistical difference. The femoro-supragenicular reconstructions had the best patency over three years (> 70%). The following factors influenced the duration of arterial reconstructions: the type of graft used, diabetesmellitus, smoking.
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