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KMID : 0364019970300020195
Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 2 p.195 ~ p.199
Clinical Analysis of Arterial Bypass on the Atherosclerotic Occlusive Disease in Lower Extremities


Abstract
From Dec. 1992 to Dec. 1995, 20 patients with atherosclerotic occlusive disease in the lower extremities underwent arterial bypass surgery. The age of the patients ranged between 46 and 77 years(mean : 60.8 years) and the most prevalent incidence
was in
the 7th decades. The mean follow up period was 18.8 months ranging from 4 to 36 months. Associated diseases were diabetus mellitus(25%), hypertension (35%), cerebrovascular accident(25%), and acute myocardial infarction(5%). Disabling
intermittent
claudification(35%), resting pain(20%) or ischemic gangrene(or ulceration)(45%) were operative indications. Aorto-bifemoral bypass in 4 cases, aorto-single femoral bypass in 2 cases, Aorto-bifemoral bypass and femoropopliteal bypass in 3 cases,
aorto-single femoral bypass and femoropopliteal bypass in 1 case, femoropopliteal bypass in 4 cases, femorotibial bypass in 1 case, popliteotibial bypass 4 case and femorofemoral bypass in 1 case were the surgical approches. Early thrombosis(2
cases)
and wound infection(2 cases) were main complication. Postoperative complication rate was 20%. Postoperative patency rates are 92.6% at 6 months, 84.2% at 1 year, 75.4% at 2 years and 69.4% at 3 years.
KEYWORD
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