Angiographic runoff score as a predictor of outcome following femorocrural bypass surgery

Angiographic runoff score as a predictor of outcome following femorocrural bypass surgery
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DOI:
10.1053/ejvs.1999.0825
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发表时间:
1999-06-01
影响因子:
5.7
通讯作者:
Lepäntalo, M
Lepäntalo, M
中科院分区:
医学1区
文献类型:
--
作者:
Biancari, F;Albäck, A;Lepäntalo, M

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目的:评估的有效性,修订特设评分系统在预测femorocrural bypass surgery.Design的结果:retrospective study.Materials和methods:七十七腹股沟下旁路手术的小腿动脉进行了69例重症下肢缺血。术前血管造影结果根据修订的ad hoc评分系统和其他术前血管造影measures.Results:修订的ad hoc评分是有价值的预测这些移植物的结果。流出动脉的整个长度的状态对二期通畅率、下肢挽救率、有腿存活的患者和存活率方面的长期结局有很大影响。原位自体隐静脉移植物取得了最好的即时和长期results.Conclusions:修订特设血管造影评分方法是有用的预测结果的患者进行femorocrural动脉重建患者的流出动脉完全开放的整个长度有很好的长期效果。
Objective: to evaluate the efficacy of the revised ad hoc scoring system in predicting the outcome of femorocrural bypass surgery.Design: retrospective study.Materials and methods: seventy-seven infrainguinal bypass procedures to the crural arteries were performed in 69 patients with critical leg ischaemia. Preoperative angiographic findings were graded according to the revised ad hoc scoring system and other preoperative angiographic measures.Results: the revised ad hoc scores were valuable in predicting the outcome of these grafts. The status of the outflow artery throughout its length had a great impact on the long-term outcome in terms of secondary patency, leg salvage, patients alive with legs, and survival rates. In situ autogenous saphenous grafts achieved the best immediate and long-term results.Conclusions: the revised ad hoc angiographic scoring method is useful in predicting the outcome of patients undergoing femorocrural arterial reconstruction Patients with an outflow artery completely open throughout its length had excellent long-term results.