Outcomes following Distal Bypass Graft Occlusion in Diabetics

Toursarkissian, Boulos; Shireman, Paula K.; Schoolfield, John; Blumoff, Ronald L.

doi:10.1007/s10016-003-0064-4

Cited by 11 publications

(3 citation statements)

References 7 publications

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“…11,12 After graft failure, amputation rates within 2 years are reported up to 50% depending on initial indication for bypass grafting and patient comorbidities. 13,14 Reoperations for wound healing complications after infrainguinal venous bypass graft procedures are frequent and up to 31% after the initial index operation. 15 The secondary goal of our study was to assess whether unplanned return to the operating room could serve as a potential indicator of quality of care.…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Unplanned Returns to the Operating Room After Peripheral Arterial Bypass Surgery and Its Value as Indicator of Quality of Care

Ploeg

Lange

Lardenoye

et al. 2008

Vasc Endovascular Surg

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Section: Discussionmentioning

confidence: 99%

The Incidence of Unplanned Returns to the Operating Room After Peripheral Arterial Bypass Surgery and Its Value as Indicator of Quality of Care

Ploeg

Lange

Lardenoye

et al. 2008

Vasc Endovascular Surg

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“…In our study, 5 major and 18 minor amputations were performed. Unfortunately, in some circumstances, despite perfusion of the tissues, tissue necrosis may be inevitable [24, 25]. …”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of lower limb ischemia in diabetic patients – long-term results

İnan

Ünal

Uğurlucan³

et al. 2013

aoms

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IntroductionLower limb ischemia may cause nonhealing ulcers, infection, amputation and even mortality in diabetic patients. In this study, we review our data of ischemic lower limb revascularization procedures in diabetic patients and present the early, mid- and long-term results.Material and methodsFrom March 2004 to September 2008, 83 patients with lower limb ischemia in Fontaine class III and IV underwent distal arterial bypass procedures. Saphenous vein grafts were used for below-knee arterial bypasses in all patients. In 16 (19%) patients femoropopliteal bypasses were performed with PTFE grafts. Short-term and long-term surgical results were evaluated.ResultsUlcer recovery was determined in 36% of patients. Graft patency was 95% and 1 death (1%) occurred in short-term follow-up. In long-term follow-up the total effectiveness rate was 74%. Graft patency was 79% and 6 deaths (7%) occurred during the follow-up.ConclusionsLower limb ischemia is a serious event in patients with diabetes mellitus. The consequences may include increased mortality and morbidity in this particular patient population. However, distal arterial revascularizations are considerably effective procedures to avoid amputation, to eliminate symptoms, to promote ulcer recovery and to help the patient participate in social life with acceptable short, mid- and long-term follow-up results.

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“…In open revascularization, late graft failure in operations performed for tissue loss results in recurrent wounds. Toursarkissian et al (20) reported that in the diabetic patient, the implications of a failed femoral to distal bypass carry a 50% chance of limb loss.…”

Section: Implications Of Failed Endovascular Interventionsmentioning

confidence: 99%

The current role of endovascular intervention in the management of diabetic peripheral arterial disease

Pearce

Toursarkissian

2012

Diabetic Foot & Ankle

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Poor arterial inflow continues to be a major contributing factor in the failure to heal diabetic foot wounds. Options for revascularization have significantly increased with the development of sophisticated endovascular techniques. However, the application of this technology is variable due to relatively little prospective, randomized data on newer techniques. Further, multiple specialties are capable of performing endovascular interventions and proper referral can be difficult. This article will review the basics of application of endovascular intervention in the diabetic patient with arterial disease and provide a broad understanding of the literature behind the decision-making on appropriate therapy.

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Outcomes following Distal Bypass Graft Occlusion in Diabetics

Cited by 11 publications

References 7 publications

The Incidence of Unplanned Returns to the Operating Room After Peripheral Arterial Bypass Surgery and Its Value as Indicator of Quality of Care

The Incidence of Unplanned Returns to the Operating Room After Peripheral Arterial Bypass Surgery and Its Value as Indicator of Quality of Care

Surgical treatment of lower limb ischemia in diabetic patients – long-term results

The current role of endovascular intervention in the management of diabetic peripheral arterial disease

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