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https://hdl.handle.net/20.500.14094/90006153
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2024-04-23
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90006153 (fulltext)
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メタデータID
90006153
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open access
出版タイプ
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タイトル
Outcomes of Popliteal-To-Distal Bypass Combined with Femoropopliteal Artery Endovascular Treatment for Critical Limb Ischemia
著者
Tsuji, Yoshihiko ; Kitano, Ikuro ; Sugimoto, Koji
著者名
Tsuji, Yoshihiko
著者名
Kitano, Ikuro
著者ID
A0768
研究者ID
1000090314476
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=558b017116277cc8520e17560c007669
著者名
Sugimoto, Koji
杉本, 幸司
スギモト, コウジ
所属機関名
医学部附属病院
収録物名
Annals of Vascular Diseases
巻(号)
10(3)
ページ
223-228
出版者
The Editorial Committee of Annals of Vascular Diseases
刊行日
2017-09
公開日
2019-07-05
抄録
Objective: The aim of this study was to evaluate outcomes of combined popliteal-to-distal bypass and endovascular treatment (EVT) for femoropopliteal lesions in patients with critical limb ischemia (CLI). Patients and Methods: We reviewed data of 14 CLI patients who were treated by popliteal-to-distal bypass combined with femoropopliteal EVT. The femoropopliteal lesions included 3 TASC II-A, 8 TASC II-B, and 3TASC II-C but no TASC II-D, and balloon dilatation was performed in 9 cases and a stent was placed in 5 cases. The saphenous vein graft was used in all bypasses, and the target arteries were the dorsalis pedis artery in 12 cases and the posterior tibial artery in 2 cases. Results: At 12 and 24 months, primary patency rates were both 79%, primary assisted and secondary patency rates were both 93%, limb salvage rates were both 93%, and survival rates were 92% and 84%, respectively. Restenosis after femoropopliteal EVT occurred in 2 cases, and both were successfully revised by additional endovascular balloon dilatation. Conclusion: Combined popliteal-to-distal bypass and femoropopliteal EVT might be a useful therapeutic option for appropriately selected CLI patients. Intensive follow-up for endovascular treated lesions and vein graft is mandatory.
キーワード
critical limb ischemia
popliteal-to-distal bypass
femoropopliteal artery endovascular treatment
カテゴリ
医学部附属病院
学術雑誌論文
権利
This article is distributed under the terms of the Creative Commons CC-BY-NC-SA (Attribution-NonCommercial-ShareAlike) Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja)
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journal article
言語
English (英語)
ISSN
1881-641X
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eISSN
1881-6428
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NCID
AA12366253
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関連情報
DOI
https://doi.org/10.3400/avd.oa.17-00049
NAID
130006099994
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