Idioma:

Gender-related outcomes in the endovascular treatment of infrainguinal arterial obstructive disease

Pulli, Raffaele, MD ; Dorigo, Walter, MD ; Pratesi, Giovanni, MD ; Fargion, Aaron, MD ; Angiletta, Domenico, MD ; Pratesi, Carlo, MD

Journal of vascular surgery, 2012, Vol.55 (1), p.105-112 [Periódico revisado por pares]

New York, NY: Mosby, Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Gender-related outcomes in the endovascular treatment of infrainguinal arterial obstructive disease
Autor: Pulli, Raffaele, MD ; Dorigo, Walter, MD ; Pratesi, Giovanni, MD ; Fargion, Aaron, MD ; Angiletta, Domenico, MD ; Pratesi, Carlo, MD
Assuntos: Aged ; Amputation ; Angioplasty, Balloon - adverse effects ; Angioplasty, Balloon - instrumentation ; Angioplasty, Balloon - mortality ; Ankle Brachial Index ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - mortality ; Arterial Occlusive Diseases - physiopathology ; Arterial Occlusive Diseases - therapy ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Chi-Square Distribution ; Constriction, Pathologic ; Female ; Femoral Artery - diagnostic imaging ; Femoral Artery - physiopathology ; Hospital Mortality ; Humans ; Italy ; Kaplan-Meier Estimate ; Limb Salvage ; Male ; Medical sciences ; Popliteal Artery - diagnostic imaging ; Popliteal Artery - physiopathology ; Proportional Hazards Models ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Sex Factors ; Stents ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler, Duplex ; Vascular Patency ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Vascular Surgical Procedures
É parte de: Journal of vascular surgery, 2012, Vol.55 (1), p.105-112
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Objective The purpose of this study was to retrospectively analyze early and midterm results of endovascular infrainguinal peripheral revascularizations in female patients in our single-center experience, paying particular attention to clinical, anatomic, and technical factors affecting perioperative and follow-up outcomes. Materials and Methods From January 2000 to December 2010, 258 endovascular interventions for femoropopliteal disease were performed. Interventions were retrospectively divided into two groups: interventions performed in women (80 interventions, group 1) and interventions performed in men (178 interventions, group 2). The two groups of patients were compared in terms of demographic data, common risk factors for atherosclerosis, and comorbidities. Early (intraoperative and <30-day) results were analyzed in terms of technical success, conversion to open surgery, primary patency, secondary patency, and, for patients with critical limb ischemia, limb salvage. The follow-up program consisted of clinical and duplex scanning examinations with ankle-brachial index (ABI) measurement within the third postoperative month, at 6 and 12 months, and yearly thereafter. Follow-up results were analyzed in terms of survival, primary and secondary patency, assisted primary patency, and, for patients with critical ischemia, limb salvage. Results There were no differences between the two groups in terms of risk factors for atherosclerosis, comorbidities, clinical, and anatomic status. Technical success was 96.9% and technical failure rates were 1.2% in group 1 and 3.9% in group 2 ( P = .2). Three in-hospital deaths were recorded, all in group 2, whereas in-hospital thromboses occurred in five patients, two in group 1 and three in group 2; with conversion to surgical bypass in all these cases, and in three of the cases, major amputation was necessary (two in group 1 and one in group 2). Cumulative 30-day mortality was 1.1%, with no difference between women (no deaths) and men (three deaths, 1.6%; P = .4). Overall amputation rate at 30 days was 1.2%, again with no differences between the two groups (2.5% and 0.6%, respectively; P = .4); also, the rate of perioperative thrombosis (overall 2.7%) was similar between the two groups (2.5% and 3.3%, respectively; P = .9). Mean duration of follow-up was 17 months (range, 1-85 months). Estimated 36-month survival rates were 95% in group 1 and 84.5% in group 2 ( P = .4; log-rank, 0.7). Cumulative primary patency rates at 36 months were 38% in group 1 and 42% in group 2 ( P = .4; log-rank, 0.5). Assisted primary patency at 36 months was 45.1% in group 1 and 60.5% in group 2, whereas secondary patency rates were 63.5% and 76%, respectively ( P = .8; log-rank, 0.03). Conclusion Endovascular treatment of femoropopliteal occlusive disease provides similar results between men and women at an intermediate follow-up. There is, however, a trend toward poorer results in women requiring further analysis at a longer follow-up period.
Editor: New York, NY: Mosby, Inc
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Gender-related outcomes in the endovascular treatment of infrainguinal arterial obstructive disease

Pulli, Raffaele, MD ; Dorigo, Walter, MD ; Pratesi, Giovanni, MD ; Fargion, Aaron, MD ; Angiletta, Domenico, MD ; Pratesi, Carlo, MD

New York, NY: Mosby, Inc

Buscando em bases de dados remotas. Favor aguardar.