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Statements

Subject Item
n2:RIV%2F00023001%3A_____%2F13%3A00058612%21RIV14-MZ0-00023001
rdf:type
skos:Concept n14:Vysledek
rdfs:seeAlso
http://medcontent.metapress.com/content/524r0t1508x75126/?genre=article&id=doi%3a10.1024%2f0301-1526%2fa000290
dcterms:description
BACKGROUND: Hybrid endovascular and open reconstructions are used increasingly often for multilevel revascularization for lower limb ischaemia. The aim was to evaluate outcomes after such procedures in a single-center non-randomized retrospective study. PATIENTS AND METHODS: Consecutive patients with multilevel arterial disease who underwent single session hybrid procedures were analyzed depending on the type of ischaemia and the type of revascularization. RESULTS: 164 patients were included with a median follow up time of 14 months (range: 0 - 70). Indication was claudication (group 1, 47 %), critical limb ischaemia (group 2, 33 %) and acute limb ischaemia (group 3, 20 %). Technical success rate was 99.3 %, perioperative mortality 2 %. Primary, assisted-primary and secondary patency rates at one year were 60 %, 61 % and 64 %, respectively. Primary, primary assisted and secondary patency were lower in group 2 and 3 compared to group 1 (all p < 0.05). Results were better when endovascular repairs were performed above compared to below the open repair site (all p < 0.05). Limb salvage at 1 year in groups 1 - 3 were 98 %, 92 % and 90 %, respectively. The risk of major amputation was highest in group 3 compared to group 1 (p = 0.001) or group 2 (p < 0.04). CONCLUSIONS: The results depend on the type of ischaemia and the localization of endovascular procedures. BACKGROUND: Hybrid endovascular and open reconstructions are used increasingly often for multilevel revascularization for lower limb ischaemia. The aim was to evaluate outcomes after such procedures in a single-center non-randomized retrospective study. PATIENTS AND METHODS: Consecutive patients with multilevel arterial disease who underwent single session hybrid procedures were analyzed depending on the type of ischaemia and the type of revascularization. RESULTS: 164 patients were included with a median follow up time of 14 months (range: 0 - 70). Indication was claudication (group 1, 47 %), critical limb ischaemia (group 2, 33 %) and acute limb ischaemia (group 3, 20 %). Technical success rate was 99.3 %, perioperative mortality 2 %. Primary, assisted-primary and secondary patency rates at one year were 60 %, 61 % and 64 %, respectively. Primary, primary assisted and secondary patency were lower in group 2 and 3 compared to group 1 (all p < 0.05). Results were better when endovascular repairs were performed above compared to below the open repair site (all p < 0.05). Limb salvage at 1 year in groups 1 - 3 were 98 %, 92 % and 90 %, respectively. The risk of major amputation was highest in group 3 compared to group 1 (p = 0.001) or group 2 (p < 0.04). CONCLUSIONS: The results depend on the type of ischaemia and the localization of endovascular procedures.
dcterms:title
Early and late outcomes of hybrid endovascular and open repair procedures in patients with peripheral arterial disease Early and late outcomes of hybrid endovascular and open repair procedures in patients with peripheral arterial disease
skos:prefLabel
Early and late outcomes of hybrid endovascular and open repair procedures in patients with peripheral arterial disease Early and late outcomes of hybrid endovascular and open repair procedures in patients with peripheral arterial disease
skos:notation
RIV/00023001:_____/13:00058612!RIV14-MZ0-00023001
n14:predkladatel
n15:ico%3A00023001
n3:aktivita
n4:N n4:S n4:P
n3:aktivity
N, P(ED1.100/02/0123), S
n3:cisloPeriodika
4
n3:dodaniDat
n12:2014
n3:domaciTvurceVysledku
n5:1433830 n5:6341977 n5:3749347 n5:6953069 n5:8540446
n3:druhVysledku
n20:J
n3:duvernostUdaju
n10:S
n3:entitaPredkladatele
n11:predkladatel
n3:idSjednocenehoVysledku
71049
n3:idVysledku
RIV/00023001:_____/13:00058612
n3:jazykVysledku
n19:eng
n3:klicovaSlova
limb ischaemia; peripheral arterial disease; bypass; angioplasty; Hybrid procedure
n3:klicoveSlovo
n6:limb%20ischaemia n6:angioplasty n6:Hybrid%20procedure n6:bypass n6:peripheral%20arterial%20disease
n3:kodStatuVydavatele
CH - Švýcarská konfederace
n3:kontrolniKodProRIV
[1A267C11EF94]
n3:nazevZdroje
Vasa
n3:obor
n16:FJ
n3:pocetDomacichTvurcuVysledku
5
n3:pocetTvurcuVysledku
6
n3:projekt
n7:ED1.100%2F02%2F0123
n3:rokUplatneniVysledku
n12:2013
n3:svazekPeriodika
42
n3:tvurceVysledku
Rokošný, Slavomír Janoušek, Libor Adamec, Miloš Wohlfahrt, Peter Baláž, Peter Björck, M.
n3:wos
000322345000009
s:issn
0301-1526
s:numberOfPages
9
n18:doi
10.1024/0301-1526/a000290