Patient and procedure-related risk factors for adverse events after infrainguinal bypass

Abstract

Age, gender, comorbidity, and type of surgery are all independent predictors of AE occurrence in vascular surgery. After adjustment for differences in these factors, one health care facility still had lower AE occurrence, which needs to be examined further.

Outcome of lower extremity revascularization for peripheral artery occlusive disease: is there a difference between men and women?

“…Perioperative complication rates are usually associated with severity of disease, patient co-morbidities and acuity of intervention. Flu et al 49 retrospectively reviewed all types of infrainguinal bypass graft procedures (including revision and prior surgeries) performed in three facilities in the Netherlands and found women had an increased risk of suffering a 30-day postoperative adverse event (OR: 2.13, 95% CI: 1.39–3.26). The adverse events included cardiac complications, vessel re-occlusion and skin infection.…”

Surgical Technique and Peripheral Artery Disease

“…8 Complications after surgical bypass include wound infection, necrosis, tissue loss, graft occlusion, and bleeding. 9 Independent predictors of adverse outcomes include female sex, advanced age, diabetes mellitus, and below-knee bypass. 9 Results from the National Surgical Quality Improvement Program (NSQIP) provide further insight into the complications associated with lower-extremity bypass.…”

“…9 Independent predictors of adverse outcomes include female sex, advanced age, diabetes mellitus, and below-knee bypass. 9 Results from the National Surgical Quality Improvement Program (NSQIP) provide further insight into the complications associated with lower-extremity bypass. The database includes 2404 patients, of whom 47.6% had critical limb ischemia (CLI) and 37% had a nonhealing wound.…”

Transvenous Intravascular Ultrasound–Guided Endovascular Treatment for Chronic Total Occlusion of the Infrainguinal Arteries

“…Although bypass surgery is recommended for long CTOs in the infrainguinal arteries, 15 a few patients do not tolerate invasive bypass surgery due to the presence of certain risk factors. 16 EVT is less invasive and can be performed in high-risk patients. Recently, the number of EVT procedures for PAD, including CTO, has been increasing.…”