Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy
Background:There is currently no positive opinion regarding infrapopliteal revascularization for intermittent claudication (IC) in any guidelines. The aim of this study was to analyze the outcomes of infragenicular bypass and verify the adequacy of tibial artery bypass for IC.Methods and Results:Ove...
Gespeichert in:
| Veröffentlicht in: | Circulation Journal 2016/05/25, Vol.80(6), pp.1460-1469 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1469 |
|---|---|
| container_issue | 6 |
| container_start_page | 1460 |
| container_title | Circulation Journal |
| container_volume | 80 |
| creator | Mii, Shinsuke Tanaka, Kiyoshi Kyuragi, Ryoichi Kuma, Sosei Kodama, Akio Fukunaga, Ryota Masaki, Ichiro Okazaki, Jin Eguchi, Daihiko Yamaoka, Terutoshi Mori, Akira Guntani, Atsushi Okadome, Jun |
| description | Background:There is currently no positive opinion regarding infrapopliteal revascularization for intermittent claudication (IC) in any guidelines. The aim of this study was to analyze the outcomes of infragenicular bypass and verify the adequacy of tibial artery bypass for IC.Methods and Results:Over a 21-year period, 58 below-knee popliteal artery (BKPOP) bypasses and 35 tibial artery bypasses were performed for IC caused by arteriosclerosis obliterans. Graft patency and major amputation (MA) were examined as primary endpoints and the predictor of each outcome was estimated by multivariate analysis. The primary patency (PP), secondary patency (SP), and freedom from MA (ffMA) rates of a prosthetic/vein graft in all cases at 5 years were 19/68%, 22/86%, and 78/100% (P |
| doi_str_mv | 10.1253/circj.CJ-16-0169 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1792774228</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1792774228</sourcerecordid><originalsourceid>FETCH-LOGICAL-c622t-9138338d816a11bde0fcb83b7e6298a65927d902f6fe04e01a420377c03acca53</originalsourceid><addsrcrecordid>eNpFkMtu2zAQRYkiRfNo910VXGajhA-Zj2Uq2HkgQIDCXRMjalTTkCWXpAJ419_o7_VLKsdOspkZDM49i0vIV86uuJjJax-iX19VDwVXBePKfiBnXJa6KI1gJy-3Kqwp5Sk5T2nNmLBsZj-RU6G5LaWWZ2T1A0Iaetr8-_MXc0Q6tHQZ6gAdvYkZ445-320hJdoOkd7302cTcsY-06qDsQkecpjioad5hXQeYS-Y983wDMmPHUS6XGGE7e4z-dhCl_DLcV-Qn4v5srorHp9u76ubx8IrIXJhuTRSmsZwBZzXDbLW10bWGpWwBtTMCt1YJlrVIiuRcSgFk1p7JsF7mMkLcnnwbuPwe8SU3SYkj10HPQ5jclxPBl0KYSaUHVAfh5Qitm4bwwbiznHm9v26l35d9eC4cvt-p8i3o32sN9i8BV4LnYDFAVinDL_wDYCYg-_waDTMqf14N78DK4gOe_kfCu6R0Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1792774228</pqid></control><display><type>article</type><title>Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy</title><source>J-STAGE Free</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Mii, Shinsuke ; Tanaka, Kiyoshi ; Kyuragi, Ryoichi ; Kuma, Sosei ; Kodama, Akio ; Fukunaga, Ryota ; Masaki, Ichiro ; Okazaki, Jin ; Eguchi, Daihiko ; Yamaoka, Terutoshi ; Mori, Akira ; Guntani, Atsushi ; Okadome, Jun</creator><creatorcontrib>Mii, Shinsuke ; Tanaka, Kiyoshi ; Kyuragi, Ryoichi ; Kuma, Sosei ; Kodama, Akio ; Fukunaga, Ryota ; Masaki, Ichiro ; Okazaki, Jin ; Eguchi, Daihiko ; Yamaoka, Terutoshi ; Mori, Akira ; Guntani, Atsushi ; Okadome, Jun</creatorcontrib><description>Background:There is currently no positive opinion regarding infrapopliteal revascularization for intermittent claudication (IC) in any guidelines. The aim of this study was to analyze the outcomes of infragenicular bypass and verify the adequacy of tibial artery bypass for IC.Methods and Results:Over a 21-year period, 58 below-knee popliteal artery (BKPOP) bypasses and 35 tibial artery bypasses were performed for IC caused by arteriosclerosis obliterans. Graft patency and major amputation (MA) were examined as primary endpoints and the predictor of each outcome was estimated by multivariate analysis. The primary patency (PP), secondary patency (SP), and freedom from MA (ffMA) rates of a prosthetic/vein graft in all cases at 5 years were 19/68%, 22/86%, and 78/100% (P<0.01 in all). Limited to vein graft cases, PP and SP rates of popliteal/tibial bypass at 5 years were 73/62% (P=0.32) and 92/80% (P=0.22), respectively. In tibial artery bypass with a vein graft, the PP and SP rates of a single saphenous vein/spliced vein graft at 5 years were 71/46% (P=0.11) and 89/61% (P=0.03). A prosthetic graft was a common negative predictor for graft patency and MA by multivariate analysis.Conclusions:Tibial artery bypass is an acceptable treatment option for IC when a single saphenous vein can be harvested as a graft conduit. (Circ J 2016; 80: 1460–1469)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-16-0169</identifier><identifier>PMID: 27194373</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Arteriosclerosis obliterans ; Blood Vessel Prosthesis ; Female ; Graft patency ; Humans ; Intermittent claudication ; Intermittent Claudication - surgery ; Major amputation ; Male ; Middle Aged ; Popliteal Artery - surgery ; Retrospective Studies ; Saphenous Vein ; Tibial Arteries - surgery ; Tibial artery bypass ; Vascular Patency</subject><ispartof>Circulation Journal, 2016/05/25, Vol.80(6), pp.1460-1469</ispartof><rights>2016 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-9138338d816a11bde0fcb83b7e6298a65927d902f6fe04e01a420377c03acca53</citedby><cites>FETCH-LOGICAL-c622t-9138338d816a11bde0fcb83b7e6298a65927d902f6fe04e01a420377c03acca53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27194373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mii, Shinsuke</creatorcontrib><creatorcontrib>Tanaka, Kiyoshi</creatorcontrib><creatorcontrib>Kyuragi, Ryoichi</creatorcontrib><creatorcontrib>Kuma, Sosei</creatorcontrib><creatorcontrib>Kodama, Akio</creatorcontrib><creatorcontrib>Fukunaga, Ryota</creatorcontrib><creatorcontrib>Masaki, Ichiro</creatorcontrib><creatorcontrib>Okazaki, Jin</creatorcontrib><creatorcontrib>Eguchi, Daihiko</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Mori, Akira</creatorcontrib><creatorcontrib>Guntani, Atsushi</creatorcontrib><creatorcontrib>Okadome, Jun</creatorcontrib><title>Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:There is currently no positive opinion regarding infrapopliteal revascularization for intermittent claudication (IC) in any guidelines. The aim of this study was to analyze the outcomes of infragenicular bypass and verify the adequacy of tibial artery bypass for IC.Methods and Results:Over a 21-year period, 58 below-knee popliteal artery (BKPOP) bypasses and 35 tibial artery bypasses were performed for IC caused by arteriosclerosis obliterans. Graft patency and major amputation (MA) were examined as primary endpoints and the predictor of each outcome was estimated by multivariate analysis. The primary patency (PP), secondary patency (SP), and freedom from MA (ffMA) rates of a prosthetic/vein graft in all cases at 5 years were 19/68%, 22/86%, and 78/100% (P<0.01 in all). Limited to vein graft cases, PP and SP rates of popliteal/tibial bypass at 5 years were 73/62% (P=0.32) and 92/80% (P=0.22), respectively. In tibial artery bypass with a vein graft, the PP and SP rates of a single saphenous vein/spliced vein graft at 5 years were 71/46% (P=0.11) and 89/61% (P=0.03). A prosthetic graft was a common negative predictor for graft patency and MA by multivariate analysis.Conclusions:Tibial artery bypass is an acceptable treatment option for IC when a single saphenous vein can be harvested as a graft conduit. (Circ J 2016; 80: 1460–1469)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arteriosclerosis obliterans</subject><subject>Blood Vessel Prosthesis</subject><subject>Female</subject><subject>Graft patency</subject><subject>Humans</subject><subject>Intermittent claudication</subject><subject>Intermittent Claudication - surgery</subject><subject>Major amputation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Popliteal Artery - surgery</subject><subject>Retrospective Studies</subject><subject>Saphenous Vein</subject><subject>Tibial Arteries - surgery</subject><subject>Tibial artery bypass</subject><subject>Vascular Patency</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtu2zAQRYkiRfNo910VXGajhA-Zj2Uq2HkgQIDCXRMjalTTkCWXpAJ419_o7_VLKsdOspkZDM49i0vIV86uuJjJax-iX19VDwVXBePKfiBnXJa6KI1gJy-3Kqwp5Sk5T2nNmLBsZj-RU6G5LaWWZ2T1A0Iaetr8-_MXc0Q6tHQZ6gAdvYkZ445-320hJdoOkd7302cTcsY-06qDsQkecpjioad5hXQeYS-Y983wDMmPHUS6XGGE7e4z-dhCl_DLcV-Qn4v5srorHp9u76ubx8IrIXJhuTRSmsZwBZzXDbLW10bWGpWwBtTMCt1YJlrVIiuRcSgFk1p7JsF7mMkLcnnwbuPwe8SU3SYkj10HPQ5jclxPBl0KYSaUHVAfh5Qitm4bwwbiznHm9v26l35d9eC4cvt-p8i3o32sN9i8BV4LnYDFAVinDL_wDYCYg-_waDTMqf14N78DK4gOe_kfCu6R0Q</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Mii, Shinsuke</creator><creator>Tanaka, Kiyoshi</creator><creator>Kyuragi, Ryoichi</creator><creator>Kuma, Sosei</creator><creator>Kodama, Akio</creator><creator>Fukunaga, Ryota</creator><creator>Masaki, Ichiro</creator><creator>Okazaki, Jin</creator><creator>Eguchi, Daihiko</creator><creator>Yamaoka, Terutoshi</creator><creator>Mori, Akira</creator><creator>Guntani, Atsushi</creator><creator>Okadome, Jun</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy</title><author>Mii, Shinsuke ; Tanaka, Kiyoshi ; Kyuragi, Ryoichi ; Kuma, Sosei ; Kodama, Akio ; Fukunaga, Ryota ; Masaki, Ichiro ; Okazaki, Jin ; Eguchi, Daihiko ; Yamaoka, Terutoshi ; Mori, Akira ; Guntani, Atsushi ; Okadome, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-9138338d816a11bde0fcb83b7e6298a65927d902f6fe04e01a420377c03acca53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arteriosclerosis obliterans</topic><topic>Blood Vessel Prosthesis</topic><topic>Female</topic><topic>Graft patency</topic><topic>Humans</topic><topic>Intermittent claudication</topic><topic>Intermittent Claudication - surgery</topic><topic>Major amputation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Popliteal Artery - surgery</topic><topic>Retrospective Studies</topic><topic>Saphenous Vein</topic><topic>Tibial Arteries - surgery</topic><topic>Tibial artery bypass</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mii, Shinsuke</creatorcontrib><creatorcontrib>Tanaka, Kiyoshi</creatorcontrib><creatorcontrib>Kyuragi, Ryoichi</creatorcontrib><creatorcontrib>Kuma, Sosei</creatorcontrib><creatorcontrib>Kodama, Akio</creatorcontrib><creatorcontrib>Fukunaga, Ryota</creatorcontrib><creatorcontrib>Masaki, Ichiro</creatorcontrib><creatorcontrib>Okazaki, Jin</creatorcontrib><creatorcontrib>Eguchi, Daihiko</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Mori, Akira</creatorcontrib><creatorcontrib>Guntani, Atsushi</creatorcontrib><creatorcontrib>Okadome, Jun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mii, Shinsuke</au><au>Tanaka, Kiyoshi</au><au>Kyuragi, Ryoichi</au><au>Kuma, Sosei</au><au>Kodama, Akio</au><au>Fukunaga, Ryota</au><au>Masaki, Ichiro</au><au>Okazaki, Jin</au><au>Eguchi, Daihiko</au><au>Yamaoka, Terutoshi</au><au>Mori, Akira</au><au>Guntani, Atsushi</au><au>Okadome, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2016</date><risdate>2016</risdate><volume>80</volume><issue>6</issue><spage>1460</spage><epage>1469</epage><pages>1460-1469</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background:There is currently no positive opinion regarding infrapopliteal revascularization for intermittent claudication (IC) in any guidelines. The aim of this study was to analyze the outcomes of infragenicular bypass and verify the adequacy of tibial artery bypass for IC.Methods and Results:Over a 21-year period, 58 below-knee popliteal artery (BKPOP) bypasses and 35 tibial artery bypasses were performed for IC caused by arteriosclerosis obliterans. Graft patency and major amputation (MA) were examined as primary endpoints and the predictor of each outcome was estimated by multivariate analysis. The primary patency (PP), secondary patency (SP), and freedom from MA (ffMA) rates of a prosthetic/vein graft in all cases at 5 years were 19/68%, 22/86%, and 78/100% (P<0.01 in all). Limited to vein graft cases, PP and SP rates of popliteal/tibial bypass at 5 years were 73/62% (P=0.32) and 92/80% (P=0.22), respectively. In tibial artery bypass with a vein graft, the PP and SP rates of a single saphenous vein/spliced vein graft at 5 years were 71/46% (P=0.11) and 89/61% (P=0.03). A prosthetic graft was a common negative predictor for graft patency and MA by multivariate analysis.Conclusions:Tibial artery bypass is an acceptable treatment option for IC when a single saphenous vein can be harvested as a graft conduit. (Circ J 2016; 80: 1460–1469)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>27194373</pmid><doi>10.1253/circj.CJ-16-0169</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1346-9843 |
| ispartof | Circulation Journal, 2016/05/25, Vol.80(6), pp.1460-1469 |
| issn | 1346-9843 1347-4820 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1792774228 |
| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over Arteriosclerosis obliterans Blood Vessel Prosthesis Female Graft patency Humans Intermittent claudication Intermittent Claudication - surgery Major amputation Male Middle Aged Popliteal Artery - surgery Retrospective Studies Saphenous Vein Tibial Arteries - surgery Tibial artery bypass Vascular Patency |
| title | Raison d’etre of Tibial Artery Bypass for Intermittent Claudication in the Era of Endovascular Therapy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T08%3A21%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Raison%20d%E2%80%99etre%20of%20Tibial%20Artery%20Bypass%20for%20Intermittent%20Claudication%20in%20the%20Era%20of%20Endovascular%20Therapy&rft.jtitle=Circulation%20Journal&rft.au=Mii,%20Shinsuke&rft.date=2016&rft.volume=80&rft.issue=6&rft.spage=1460&rft.epage=1469&rft.pages=1460-1469&rft.issn=1346-9843&rft.eissn=1347-4820&rft_id=info:doi/10.1253/circj.CJ-16-0169&rft_dat=%3Cproquest_cross%3E1792774228%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1792774228&rft_id=info:pmid/27194373&rfr_iscdi=true |