[Differences in prognoses of aorto-iliac and femoro-popliteal reconstructions in peripheral arterial occlusive disease. Results after at least 15 to 25 years].
The results of 729 extremities, operated for peripheral vascular disease and followed for at least 15 up to 29 years are presented. 457 aortoiliac reconstructions are compared with 272 in the femoropopliteal area. All patients suffered only from intermittent claudication. The two groups were compared as to patency rate, reocclusion, amputation rate and mortality. It is of great interest, that the great majority of patients dying in the follow up have open reconstructions and have taken therefore advantage of surgery in being free of walking difficulties up to their death. The results of aortoiliac reconstructions are better, the patency rate is higher, the amputation rate lower, but even femoropopliteal reconstructions do better and have lower amputation rates than in natural course of the disease. Patients with intermittent claudication below 50 years of age should not be admitted to femoropopliteal surgery, because the risk of amputation before death is higher.
Waibel
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Ehemaliger Chefarzt Chirurgische Klinik, Kantonsspital Bruderholz CH.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate
Unterschied der Prognosen aortoiliakaler und femoropoplitealer Rekonstruktionen bei PAVK. Resultate nach mindestens 15 bis 25 Jahren.