Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects
Purpose This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations. Patients and methods Between 2004 and 2015, 776 (647 ma...
Gespeichert in:
Veröffentlicht in: | Microsurgery 2020-05, Vol.40 (4), p.447-451 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 451 |
---|---|
container_issue | 4 |
container_start_page | 447 |
container_title | Microsurgery |
container_volume | 40 |
creator | Kwon, Yu‐Jun Jung, Hyoung‐Seok Ahn, Byung‐Moon Lee, Jae‐Sung Park, Hyeong‐Jun Ha, Yong‐Chan |
description | Purpose
This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations.
Patients and methods
Between 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end‐to‐end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. The survival rate was compared between the groups. Logistic regression analysis was performed to identify risk factors predicting replantation failure in all study subjects.
Results
Among 776 replantations, 713 (91.9%) survived. At latest follow‐up, of 698 cases in the simple anastomosis group, 650 (93.1%) survived; of 78 cases in the vein graft group, 63 (80.8%) survived (p > .001). Logistic regression analysis revealed that avulsion type (odds ratio [OR] 3.121; 95% confidence interval [CI], 1.211–8.064; p = .018) and zone II amputation (OR, 2.370; 95% CI, 1.382–4.065; p = .002) were significant risk factors for replantation failure.
Conclusion
This study demonstrates that the survival rate (80.8%) of the vein graft in fingertip amputation with segmental vessel defects was shown to be a possible option to increase the survival rates in case with segmental vessel defects where simple anastomosis could not be performed. However, avulsion type and zone II amputation are important risk factors of replantation failures. |
doi_str_mv | 10.1002/micr.30554 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2336245743</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2336245743</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3574-7c234a4ca4b72e35a2e7fc5218991ce89d007ad63d61f3e06bdb6dccea99a8233</originalsourceid><addsrcrecordid>eNp90ctOGzEUBmCrKioh7aYPgCx1g5Am-DI3L6uItkhBSLRdW47nTHCYGz6eoDwA743TARYsuvJZfPrPkX9CvnK24IyJi9ZZv5Asy9IPZMaZKhNRZOIjmbFClglnZXZMThC3jDGlCvWJHEuuRM5SMSNPv0e_czvTUG8CIDVdRb3De1obG3qPtO59nF0zeqAjum4TCXVdAD_06ILrO7oD19GNN3WYdETggxuoaYcxmINB-ujCHUXYtNCFuG0HiNDQCmqwAT-To9o0CF9e3jn5--Pyz_JXsrr5ebX8vkqszIo0KayQqUmtSdeFAJkZAUVtM8FLpbiFUlWMFabKZZXzWgLL19U6r6wFo5QphZRzcjblDr5_GAGDbh1aaBrTQT-ijiQXaVx1oN_e0W0_-i5ep0XKuBTxb7OozidlfY_oodaDd63xe82ZPpSjD-Xof-VEfPoSOa5bqN7oaxsR8Ak8ugb2_4nS11fL2yn0GYgJnKc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2401327385</pqid></control><display><type>article</type><title>Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Kwon, Yu‐Jun ; Jung, Hyoung‐Seok ; Ahn, Byung‐Moon ; Lee, Jae‐Sung ; Park, Hyeong‐Jun ; Ha, Yong‐Chan</creator><creatorcontrib>Kwon, Yu‐Jun ; Jung, Hyoung‐Seok ; Ahn, Byung‐Moon ; Lee, Jae‐Sung ; Park, Hyeong‐Jun ; Ha, Yong‐Chan</creatorcontrib><description>Purpose
This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations.
Patients and methods
Between 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end‐to‐end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. The survival rate was compared between the groups. Logistic regression analysis was performed to identify risk factors predicting replantation failure in all study subjects.
Results
Among 776 replantations, 713 (91.9%) survived. At latest follow‐up, of 698 cases in the simple anastomosis group, 650 (93.1%) survived; of 78 cases in the vein graft group, 63 (80.8%) survived (p > .001). Logistic regression analysis revealed that avulsion type (odds ratio [OR] 3.121; 95% confidence interval [CI], 1.211–8.064; p = .018) and zone II amputation (OR, 2.370; 95% CI, 1.382–4.065; p = .002) were significant risk factors for replantation failure.
Conclusion
This study demonstrates that the survival rate (80.8%) of the vein graft in fingertip amputation with segmental vessel defects was shown to be a possible option to increase the survival rates in case with segmental vessel defects where simple anastomosis could not be performed. However, avulsion type and zone II amputation are important risk factors of replantation failures.</description><identifier>ISSN: 0738-1085</identifier><identifier>EISSN: 1098-2752</identifier><identifier>DOI: 10.1002/micr.30554</identifier><identifier>PMID: 31926042</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Amputation ; Amputation, Traumatic - surgery ; Anastomosis ; Blood vessels ; Confidence intervals ; Defects ; Failure ; Failure analysis ; Female ; Finger Injuries - surgery ; Graft Survival ; Grafting ; Humans ; Male ; Middle Aged ; Regression analysis ; Replantation - methods ; Retrospective Studies ; Risk analysis ; Risk factors ; Statistical analysis ; Survival ; Veins ; Veins & arteries ; Veins - transplantation ; Young Adult</subject><ispartof>Microsurgery, 2020-05, Vol.40 (4), p.447-451</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3574-7c234a4ca4b72e35a2e7fc5218991ce89d007ad63d61f3e06bdb6dccea99a8233</citedby><cites>FETCH-LOGICAL-c3574-7c234a4ca4b72e35a2e7fc5218991ce89d007ad63d61f3e06bdb6dccea99a8233</cites><orcidid>0000-0002-6249-0581</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmicr.30554$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmicr.30554$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31926042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwon, Yu‐Jun</creatorcontrib><creatorcontrib>Jung, Hyoung‐Seok</creatorcontrib><creatorcontrib>Ahn, Byung‐Moon</creatorcontrib><creatorcontrib>Lee, Jae‐Sung</creatorcontrib><creatorcontrib>Park, Hyeong‐Jun</creatorcontrib><creatorcontrib>Ha, Yong‐Chan</creatorcontrib><title>Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects</title><title>Microsurgery</title><addtitle>Microsurgery</addtitle><description>Purpose
This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations.
Patients and methods
Between 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end‐to‐end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. The survival rate was compared between the groups. Logistic regression analysis was performed to identify risk factors predicting replantation failure in all study subjects.
Results
Among 776 replantations, 713 (91.9%) survived. At latest follow‐up, of 698 cases in the simple anastomosis group, 650 (93.1%) survived; of 78 cases in the vein graft group, 63 (80.8%) survived (p > .001). Logistic regression analysis revealed that avulsion type (odds ratio [OR] 3.121; 95% confidence interval [CI], 1.211–8.064; p = .018) and zone II amputation (OR, 2.370; 95% CI, 1.382–4.065; p = .002) were significant risk factors for replantation failure.
Conclusion
This study demonstrates that the survival rate (80.8%) of the vein graft in fingertip amputation with segmental vessel defects was shown to be a possible option to increase the survival rates in case with segmental vessel defects where simple anastomosis could not be performed. However, avulsion type and zone II amputation are important risk factors of replantation failures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Amputation</subject><subject>Amputation, Traumatic - surgery</subject><subject>Anastomosis</subject><subject>Blood vessels</subject><subject>Confidence intervals</subject><subject>Defects</subject><subject>Failure</subject><subject>Failure analysis</subject><subject>Female</subject><subject>Finger Injuries - surgery</subject><subject>Graft Survival</subject><subject>Grafting</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Regression analysis</subject><subject>Replantation - methods</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>Veins</subject><subject>Veins & arteries</subject><subject>Veins - transplantation</subject><subject>Young Adult</subject><issn>0738-1085</issn><issn>1098-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90ctOGzEUBmCrKioh7aYPgCx1g5Am-DI3L6uItkhBSLRdW47nTHCYGz6eoDwA743TARYsuvJZfPrPkX9CvnK24IyJi9ZZv5Asy9IPZMaZKhNRZOIjmbFClglnZXZMThC3jDGlCvWJHEuuRM5SMSNPv0e_czvTUG8CIDVdRb3De1obG3qPtO59nF0zeqAjum4TCXVdAD_06ILrO7oD19GNN3WYdETggxuoaYcxmINB-ujCHUXYtNCFuG0HiNDQCmqwAT-To9o0CF9e3jn5--Pyz_JXsrr5ebX8vkqszIo0KayQqUmtSdeFAJkZAUVtM8FLpbiFUlWMFabKZZXzWgLL19U6r6wFo5QphZRzcjblDr5_GAGDbh1aaBrTQT-ijiQXaVx1oN_e0W0_-i5ep0XKuBTxb7OozidlfY_oodaDd63xe82ZPpSjD-Xof-VEfPoSOa5bqN7oaxsR8Ak8ugb2_4nS11fL2yn0GYgJnKc</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Kwon, Yu‐Jun</creator><creator>Jung, Hyoung‐Seok</creator><creator>Ahn, Byung‐Moon</creator><creator>Lee, Jae‐Sung</creator><creator>Park, Hyeong‐Jun</creator><creator>Ha, Yong‐Chan</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</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>7QO</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6249-0581</orcidid></search><sort><creationdate>202005</creationdate><title>Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects</title><author>Kwon, Yu‐Jun ; Jung, Hyoung‐Seok ; Ahn, Byung‐Moon ; Lee, Jae‐Sung ; Park, Hyeong‐Jun ; Ha, Yong‐Chan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3574-7c234a4ca4b72e35a2e7fc5218991ce89d007ad63d61f3e06bdb6dccea99a8233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Amputation</topic><topic>Amputation, Traumatic - surgery</topic><topic>Anastomosis</topic><topic>Blood vessels</topic><topic>Confidence intervals</topic><topic>Defects</topic><topic>Failure</topic><topic>Failure analysis</topic><topic>Female</topic><topic>Finger Injuries - surgery</topic><topic>Graft Survival</topic><topic>Grafting</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Regression analysis</topic><topic>Replantation - methods</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>Veins</topic><topic>Veins & arteries</topic><topic>Veins - transplantation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwon, Yu‐Jun</creatorcontrib><creatorcontrib>Jung, Hyoung‐Seok</creatorcontrib><creatorcontrib>Ahn, Byung‐Moon</creatorcontrib><creatorcontrib>Lee, Jae‐Sung</creatorcontrib><creatorcontrib>Park, Hyeong‐Jun</creatorcontrib><creatorcontrib>Ha, Yong‐Chan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwon, Yu‐Jun</au><au>Jung, Hyoung‐Seok</au><au>Ahn, Byung‐Moon</au><au>Lee, Jae‐Sung</au><au>Park, Hyeong‐Jun</au><au>Ha, Yong‐Chan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects</atitle><jtitle>Microsurgery</jtitle><addtitle>Microsurgery</addtitle><date>2020-05</date><risdate>2020</risdate><volume>40</volume><issue>4</issue><spage>447</spage><epage>451</epage><pages>447-451</pages><issn>0738-1085</issn><eissn>1098-2752</eissn><abstract>Purpose
This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations.
Patients and methods
Between 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end‐to‐end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. The survival rate was compared between the groups. Logistic regression analysis was performed to identify risk factors predicting replantation failure in all study subjects.
Results
Among 776 replantations, 713 (91.9%) survived. At latest follow‐up, of 698 cases in the simple anastomosis group, 650 (93.1%) survived; of 78 cases in the vein graft group, 63 (80.8%) survived (p > .001). Logistic regression analysis revealed that avulsion type (odds ratio [OR] 3.121; 95% confidence interval [CI], 1.211–8.064; p = .018) and zone II amputation (OR, 2.370; 95% CI, 1.382–4.065; p = .002) were significant risk factors for replantation failure.
Conclusion
This study demonstrates that the survival rate (80.8%) of the vein graft in fingertip amputation with segmental vessel defects was shown to be a possible option to increase the survival rates in case with segmental vessel defects where simple anastomosis could not be performed. However, avulsion type and zone II amputation are important risk factors of replantation failures.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31926042</pmid><doi>10.1002/micr.30554</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-6249-0581</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0738-1085 |
ispartof | Microsurgery, 2020-05, Vol.40 (4), p.447-451 |
issn | 0738-1085 1098-2752 |
language | eng |
recordid | cdi_proquest_miscellaneous_2336245743 |
source | MEDLINE; Access via Wiley Online Library |
subjects | Adolescent Adult Aged Amputation Amputation, Traumatic - surgery Anastomosis Blood vessels Confidence intervals Defects Failure Failure analysis Female Finger Injuries - surgery Graft Survival Grafting Humans Male Middle Aged Regression analysis Replantation - methods Retrospective Studies Risk analysis Risk factors Statistical analysis Survival Veins Veins & arteries Veins - transplantation Young Adult |
title | Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T01%3A52%3A06IST&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=Survival%20rates%20and%20risk%20factors%20for%20failure%20using%20an%20interposition%20vein%20graft%20for%20fingertip%20amputations%20with%20segmental%20vessel%20defects&rft.jtitle=Microsurgery&rft.au=Kwon,%20Yu%E2%80%90Jun&rft.date=2020-05&rft.volume=40&rft.issue=4&rft.spage=447&rft.epage=451&rft.pages=447-451&rft.issn=0738-1085&rft.eissn=1098-2752&rft_id=info:doi/10.1002/micr.30554&rft_dat=%3Cproquest_cross%3E2336245743%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=2401327385&rft_id=info:pmid/31926042&rfr_iscdi=true |