The incidence, prevalence, and survival rate of thromboangiitis obliterans in Korea: a retrospective population-based study

Choi, Bareun; Jang, Shin Yi; Kim, Seong-Kyong; Kim, Nari; Kim, Kyeongsug; Kim, Dong Kyu

doi:10.21037/cdt-20-582

Cited by 8 publications

(2 citation statements)

References 17 publications

(15 reference statements)

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“… 7 24 Consequently, the SR for AF with ACHD decreased due to incremental factors related to aging. In addition, research on other diseases based on KNHIS data, such as Takayasu's arteritis 14 or thromboangiitis obliterans, 25 showed a lower SR or higher HR with age, in agreement with ACHD showing a lower SR or higher HR with age in the present study. For these reasons, we could not exclude the natural history of aging in ACHD.…”

Section: Discussionsupporting

confidence: 88%

Impact of Atrial Fibrillation on Survival in Adults with Congenital Heart Disease: a Retrospective Population-based Study

et al. 2021

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Background The number of adults with congenital heart disease (ACHD) with atrial fibrillation (AF) is expected to increase. We sought to assess the impact of AF on survival in Korean ACHD. Methods Records of AF in ACHD were extracted from the records of the Korea National Health Insurance Service from 2006 through 2015. Multiple Cox proportional hazards analyses were carried out after adjustment for age, sex, income level, AF, and comorbidities. Survival rates (SRs) with and without AF were compared. The death records from 2006 through 2016 were included. Results A total of 3,999 ACHD had AF (51.4% were male) and 62,691 ACHD did not have AF (43.5% were male); the proportion of ACHD who were 60 years and older was 53.0% and 27.0% in those with and without AF, respectively ( P < 0.001). The age-standardized incidence rate for AF was 1,842.0 persons per 100,000 people in the Korean general population from 2006 through 2015. For AF in ACHD, it was 5,996.4 persons per 100,000 ACHD during the same period, which was higher than that in the general population ( P < 0.001). Significantly higher proportion of death (20.9%) occurred in ACHD with AF than without AF (8.3%) ( P < 0.001). The adjusted hazard ratio for AF of death in ACHD was 1.39 (95% confidence interval, 1.29–1.50). The ten-year SR of ACHD with AF was 69.7% whereas it was 87.5% in non-AF ( P < 0.001). Conclusion In ACHD, AF occurs more frequently and has a worse prognosis than seen in the non-valvular general population in Korea. AF is associated with increased death in ACHD, especially with aging.

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Section: Discussionsupporting

confidence: 88%

Impact of Atrial Fibrillation on Survival in Adults with Congenital Heart Disease: a Retrospective Population-based Study

et al. 2021

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“…Гострий тромбоз артерій підколінно-гомілкового (infrapopliteal) сегменту є важкою патологією, оскільки відсоток ампутацій в даній групі пацієнтів значно вищий, ніж при тромбозах інших артеріальних сегментів нижніх кінцівок [1,2]. Основними при-чинами виникнення гострого тромбозу підколінногомілкового сегменту є емболія підколінної артерії [3], облітеруючий тромбангіїт (хвороба Бюргера) [4,5,6] та аневризма підколінної артерії [7,8]. Вибір методу лікування та його результат безпосередньо залежить від вияснення етіології виникнення тромбозу.…”

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Surgical Treatment of Acute Thrombosis Arteries of Infrapopliteal Segment

Hupalo¹,

Nabolotnyi

Kulikovskyi

et al. 2021

Clin. and prev. med.

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Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.

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