대동맥-장골동맥 폐색증의 동맥 우회술에 관한 임상적 경험
Clinical Experiences of the Arterial Bypass in Aortoiliac Occlusive Disease
김익희, 김동익, 허세호, 이병붕, 김덕경, 도영수, 이순정,
소속 상세정보
김익희 ( Kim Ick-Hee )
성균관대학교 의과대학 삼성서울병원 혈관외과
김동익 ( Kim Dong-Ik )
성균관대학교 의과대학 삼성서울병원 혈관외과
허세호 ( Huh Se-Ho )
성균관대학교 의과대학 삼성서울병원 혈관외과
이병붕 ( Lee Byung-Boong )
성균관대학교 의과대학 삼성서울병원 혈관외과
김덕경 ( Kim Duk-Kyung )
성균관대학교 의과대학 삼성서울병원 내과
도영수 ( Do Young-Soo )
성균관대학교 의과대학 삼성서울병원 영상의학과
이순정 ( Lee Sun-Jung )
성균관대학교 의과대학 마산삼성병원 외과학교실
KMID : 0371320010610060600
Abstract
Purpose : To analysis of the clinical aspects of axillofemoral (AXFBG) and aortofemoral bypass (AOFBG) for aortoiliac occlusive disease
Methods : Between June 1996 and May 2001, 23 patients underwent AXFBG or AOFBG for lower extremity ischemia caused by aortoiliac occlusive disease at Samsung Medical Center. The decision to perform AXFBG or AOFBG was based on an assessment
of
surgical risk and the patient’s preference. We retrospectively analyzed the preoperative clinical status, risk factors and distal runoff scores affecting the patency rate as well as the clinical outcome following surgery.
Results : We performed 10 AXFBGs and 13 AOFBGs. The mean age was 67.8 years in AXFBG patients and 57.4 years in AOFBG patients. Limb salvage as an indication for surgery included 8 (80%) cases with AXFBG, as compared to 13(100%) cases with
AOFBG.
The mean follow-up period was 20.7 months in AXFBG and 21.8 months in AOFBG. The clinical improvement following surgery was statistically higher with AOFBG. The one-year and 2-year primary patency rates in AXFBG were 100% and 82% retrospectively.
All of
the grafts of AOFBG were patent during this follow-up period.
Conclusion : The clinical improvement was higher with AOFBG as compared to AXFBG. However AXFBG is a safe practice in high-risk patients.
키워드
대동맥-장골동맥; 액와동맥-대퇴동맥; 대동맥-대퇴동맥; 우회술; Aortoiliac; Axillofemoral; Aortofemoral; Bypass;
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