内科治疗 血管内治疗外科治疗
返回首页

下肢动脉CLI的外科治疗

时间:2016-06-01 05:36来源:未知 作者:Mr.Editor
Outcome of lower limb bypass (Cochrane database Syst Rev. 2000) Leng et al. Objective: Effect of bypass in patients with limb ischemia 6 pros. randomized controlled trials of over 700 patients (2 compared PTA to bypass Conclusion: No clear


Outcome of lower limb bypass (Cochrane database Syst Rev. 2000)  Leng et al.

• Objective: Effect of bypass in patients with limb ischemia
• 6 pros. randomized controlled trials of over 700 patients (2 compared PTA to bypass
• Conclusion: “No clear difference between bypass and PTA”

Outcome of lower limb bypass: Swedish analysis
 
• 3730 surgeries and 1199 angioplasty procedures (1987-1995)
• Evaluating both patency and clinical outcome
• Conclusion: surgical bypass associated with better patency but similar survival and amputation rates


PTA vs Surgery in CLI:BASIL Trial

PTA vs Surgery in CLI (BASIL Trial. Lancet 2005;366:1925)
  Surgery PTA
Randomized 228 224
Treated 195 (86%) 216 (96%)
1-yr amp free surv 109 (56%) 107 (50%)
1-yr cost of care £23,322 £17419
  • No difference in HRQL(Health - Related Quality of Life )
  • In 43/216 (20%) there was immediate technical failure of PTA
                           -  Could not cross lesion   10
                           -  Could not re-enter            18
                           -  Immediate re-occlusion  10
顶一下
(0)
0%
踩一下
(0)
0%
------分隔线----------------------------
  • 上一篇:没有了
  • 下一篇:没有了
推荐内容