Comparison of graft bypass surgery and endovascular interventional techniques in iliofemoral and above knee femoropopliteal arterial occlusion

Mehmet Bozkurt; Mohammad Alşalaldeh; Mustafa Çağdaş Çayır

Makale detayları

Comparison of graft bypass surgery and endovascular interventional techniques in iliofemoral and above knee femoropopliteal arterial occlusion

Yazarlar:

Mehmet Bozkurt | Mohammad Alşalaldeh | Mustafa Çağdaş Çayır

Yayıncı:

Pamukkale University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 2, pp.350-361

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281300

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: Peripheral vascular disease is associated with significant morbidity and mortality. In this study, we made a comparison between surgical bypass grafting and endovascular stenting in iliofemoral and above-knee femoropopliteal arterial occlusion to find out the advantages and disadvantages of each treatment method. Matarials and methods: This is a retrospective study, where 60 patients had undergone endovascular and surgical interventions due to the occlusion of the iliofemoral and above-knee femoropopliteal arteries between January 2015 and December 2020. Patients were divided into two groups according to their treatment method. Group 1 contained 33 patients and was operated on with surgical bypass grafting, while group 2 contained 27 with endovascular intervention. Patients morbidities, imaging methods, localization of occlusion, type of grafts and endovascular procedure, vascular patency, length of hospital stay, blood transfusion, revision, and complications were evaluated and analyzed. Results: The femoral artery occlusion 72.7 was in the majority in Group 1, while the iliac artery 66.7 was in Group 2. There were three patients in Group 1 and 14 patients in Group 2 who had balloon administration. Regarding vascular patency, the grafts were occluded in 10 45.5 patients in Group 1, while stents were occluded in 12 patients 54.5 in Group 2. Blood transfusion was performed in fifteen patients in Group 2 and six patients in Group 2. Conclusion: The graft patency rate was higher in Group 1, and the re-revascularization rate of surgical treatment was lower than endovascular treatment. The highest graft patency rate was seen in the Dacron grafts then saphenous veins. Group 1 patients received more blood transfusions and extended hospital stayment periods than Group 2 patients.

 Purpose: Peripheral vascular disease is associated with significant morbidity and mortality. In this study, we made a comparison between surgical bypass grafting and endovascular stenting in iliofemoral and above-knee femoropopliteal arterial occlusion to find out the advantages and disadvantages of each treatment method. Matarials and methods: This is a retrospective study, where 60 patients had undergone endovascular and surgical interventions due to the occlusion of the iliofemoral and above-knee femoropopliteal arteries between January 2015 and December 2020. Patients were divided into two groups according to their treatment method. Group 1 contained 33 patients and was operated on with surgical bypass grafting, while group 2 contained 27 with endovascular intervention. Patients morbidities, imaging methods, localization of occlusion, type of grafts and endovascular procedure, vascular patency, length of hospital stay, blood transfusion, revision, and complications were evaluated and analyzed. Results: The femoral artery occlusion 72.7 was in the majority in Group 1, while the iliac artery 66.7 was in Group 2. There were three patients in Group 1 and 14 patients in Group 2 who had balloon administration. Regarding vascular patency, the grafts were occluded in 10 45.5 patients in Group 1, while stents were occluded in 12 patients 54.5 in Group 2. Blood transfusion was performed in fifteen patients in Group 2 and six patients in Group 2. Conclusion: The graft patency rate was higher in Group 1, and the re-revascularization rate of surgical treatment was lower than endovascular treatment. The highest graft patency rate was seen in the Dacron grafts then saphenous veins. Group 1 patients received more blood transfusions and extended hospital stayment periods than Group 2 patients.

 Purpose: Peripheral vascular disease is associated with significant morbidity and mortality. In this study, we made a comparison between surgical bypass grafting and endovascular stenting in iliofemoral and above-knee femoropopliteal arterial occlusion to find out the advantages and disadvantages of each treatment method. Matarials and methods: This is a retrospective study, where 60 patients had undergone endovascular and surgical interventions due to the occlusion of the iliofemoral and above-knee femoropopliteal arteries between January 2015 and December 2020. Patients were divided into two groups according to their treatment method. Group 1 contained 33 patients and was operated on with surgical bypass grafting, while group 2 contained 27 with endovascular intervention. Patients morbidities, imaging methods, localization of occlusion, type of grafts and endovascular procedure, vascular patency, length of hospital stay, blood transfusion, revision, and complications were evaluated and analyzed. Results: The femoral artery occlusion 72.7 was in the majority in Group 1, while the iliac artery 66.7 was in Group 2. There were three patients in Group 1 and 14 patients in Group 2 who had balloon administration. Regarding vascular patency, the grafts were occluded in 10 45.5 patients in Group 1, while stents were occluded in 12 patients 54.5 in Group 2. Blood transfusion was performed in fifteen patients in Group 2 and six patients in Group 2. Conclusion: The graft patency rate was higher in Group 1, and the re-revascularization rate of surgical treatment was lower than endovascular treatment. The highest graft patency rate was seen in the Dacron grafts then saphenous veins. Group 1 patients received more blood transfusions and extended hospital stayment periods than Group 2 patients.

 Amaç: Periferik damar hastalığı önemli morbidite ve mortalite ile ilişkilidir. Bu çalışmada iliofemoral ve diz üstü femoropopliteal arter tıkanıklığında cerrahi baypas greftleme ile endovasküler stentleme arasında bir karşılaştırma yaparak her bir tedavi yönteminin avantaj ve dezavantajlarını ortaya çıkarmaya çalıştık. Gereç ve yöntem: Ocak 2015 ile Aralık 2020 arasında 60 hasta bu çalışmaya retrospektif olarak dahil edildi. Hastalar tedavi yöntemlerine göre iki gruba ayrıldı. Grup 1 33 hastadan oluşuyordu ve cerrahi baypas greftleme ile ameliyat edildi, grup 2 ise endovasküler girişim ile 27 hastadan oluşuyordu. Hastaların morbiditeleri, görüntüleme yöntemleri, tıkanıklığın lokalizasyonu, greft tipi ve endovasküler işlem, damar açıklığı, hastanede kalış süresi, kan transfüzyonu, revizyon ve komplikasyonlar değerlendirildi ve analiz edildi. Bulgular: Grup 1de femoral arter tıkanıklığı 72,7 çoğunluktayken, Grup 2de iliak arter 66,7 idi. Grup 1de üç hasta, Grup 2de balon uygulanan on dört hasta vardı. Vasküler açıklık açısından Grup 1de 10 45,5 hastada greftler, Grup 2de ise 12 54,5 hastada stent tıkandı. Grup 1de on beş hastaya, Grup 2de altı hastaya kan transfüzyonu yapıldı. Sonuç: Grup 1de greft açıklık oranı daha yüksek, cerrahi tedavinin yeniden revaskülarizasyon oranı endovasküler tedaviye göre daha düşüktü. En yüksek greft açıklık oranı, safen venlerden sonra Dakron greftlerde görüldü. Grup 1 hastalara Grup 2 hastalarından daha fazla kan transfüzyonu yapıldı ve hastanede kalış süreleri uzatıldı.

Makale detayları

Comparison of graft bypass surgery and endovascular interventional techniques in iliofemoral and above knee femoropopliteal arterial occlusion

Yazarlar:

Mehmet Bozkurt | Mohammad Alşalaldeh | Mustafa Çağdaş Çayır

Yayıncı:

Pamukkale University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 2, pp.350-361

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281300

pISSN:

1308-0865

Surgical bypass grafting

endovascular stenting

artery occlusion

vascular patency

Cerrahi bypass greftleme

endovasküler stentleme

arter tıkanıklığı

vasküler açıklık

Sayı

Makale detayları

Yazarlar: Mehmet Bozkurt | Mohammad Alşalaldeh | Mustafa Çağdaş Çayır

Yayıncı: Pamukkale University

Ana Başlıklar: Kalp ve Damar Cerrahisi

Dergi: Pamukkale Tıp Dergisi Vol.16 Issue 2, pp.350-361

Belge Tipi: Makale

Yayın Tarihi: 5/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001281300

pISSN: 1308-0865

Sayı

Yazarlar:

Mehmet Bozkurt | Mohammad Alşalaldeh | Mustafa Çağdaş Çayır

Yayıncı:

Pamukkale University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 2, pp.350-361

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281300

pISSN:

1308-0865