scholarly journals Preoperative anemia associated with adverse outcomes after infrainguinal bypass surgery in patients with chronic limb-threatening ischemia

2017 ◽  
Vol 66 (6) ◽  
pp. 1775-1785.e2 ◽  
Author(s):  
Thomas C.F. Bodewes ◽  
Alexander B. Pothof ◽  
Jeremy D. Darling ◽  
Sarah E. Deery ◽  
Douglas W. Jones ◽  
...  
Keyword(s):  
Bypass Surgery ◽  
Adverse Outcomes ◽  
Preoperative Anemia ◽  
Infrainguinal Bypass

The Influence of Preoperative Anemia on Clinical Outcomes After Infrainguinal Bypass Surgery

2020 ◽  
Vol 66 ◽  
pp. 586-594 ◽  
Author(s):  
Sandip Nandhra ◽  
Luke Boylan ◽  
James Prentis ◽  
Craig Nesbitt
Keyword(s):  
Clinical Outcomes ◽  
Bypass Surgery ◽  
Preoperative Anemia ◽  
Infrainguinal Bypass

Early Outcomes of Coronary Endarterectomy in Patients Undergoing Coronary Artery Bypass Surgery

2016 ◽  
Vol 19 (2) ◽  
pp. 059
Author(s):  
Amin Bagheri ◽  
Ahmad Masoumi ◽  
Jamshid Bagheri
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Adverse Outcomes ◽  
Supraventricular Arrhythmia ◽  
Coronary Endarterectomy ◽  
Early Results ◽  
The Impact

<strong>Background:</strong> Coronary endarterectomy (CE) is performed as an adjunct to coronary artery bypass surgery (CABG); however, the efficacy of this technique is still controversial. We aimed to evaluate the impact of CE combined with CABG when compared with isolated CABG.<br /><strong>Methods:</strong> Patients who underwent CABG between July 2007 and June 2014 were included. 70 of 2452 patients (2.8%) underwent CE in addition to CABG. Early results were compared with isolated CABG and predictors of adverse outcome were measured in stepwise multivariate logistic regression analyses.<br /><strong>Results:</strong> The incidence of comorbidities including prior myocardial infarction, diabetes mellitus, and three-vessel coronary disease in CE patients was higher; however, mortality (4.3% versus control 3.6%; P = .762) and postoperative complications were not significantly increased in this group of patients (except supraventricular arrhythmia). Although age greater than 70 years, impaired ejection fraction, intraoperative intraaortic balloon pump, and prolonged cardiopulmonary bypass time were important predictors of adverse outcomes, CE was not associated with increased mortality or postoperative morbidities. <br /><strong>Conclusion:</strong> Despite the higher risk profile of patients who underwent CE, this technique was not identified as an independent risk factor for adverse postoperative outcomes.

Omniflow II biosynthetic grafts versus expanded polytetrafluoroethylene grafts for infrainguinal bypass surgery. A single-center retrospective analysis

Vascular ◽  
2021 ◽  
pp. 170853812110298
Author(s):  
Bart CT van de Laar ◽  
Hugo C van Heusden ◽  
Pieternel CM Pasker-de Jong ◽  
Vincent van Weel
Keyword(s):  
Limb Salvage ◽  
Infection Rate ◽  
Bypass Surgery ◽  
Primary Patency ◽  
Knee Surgery ◽  
Secondary Patency ◽  
Single Center ◽  
Expanded Polytetrafluoroethylene ◽  
Infrainguinal Bypass ◽  
Omniflow Ii

Introduction: The aim of this study is to evaluate the outcome of Omniflow II biosynthetic vascular grafts as compared to synthetic expanded polytetrafluoroethylene (ePTFE) grafts in infrainguinal bypass surgery. Methods: A single-center, retrospective, observational study was performed reviewing patients with critical limb ischemia who underwent infrainguinal bypass surgery between 2014 and 2018. Patients characteristics, graft characteristics, and treatment outcomes were collected. Patency rates were compared using Kaplan–Meier estimates. Results: Sixty bypasses were performed in 57 patients. For above-knee surgery, six were Omniflow and 13 were synthetic. For below-knee surgery, 19 were Omniflow and 22 were synthetic. Patient characteristics between groups were similar. However, American Society of Anesthesiologists (ASA) classification scores were higher in the Omniflow group as compared to ePTFE (88% was ASA 3 or higher versus 60%; p = 0.018). Furthermore, wound, ischemia, and foot infection (WIfI) composite scores were higher in the Omniflow group ( p = 0.0001). There was a trend toward more active infection at time of surgery in the Omniflow group (40 vs 22.9%, p = 0.15). At 1 year, primary patency rates were 60.0% versus 46.9% for above-knee Omniflow versus ePTFE grafts, respectively ( p = 0.72). Secondary patency rates were 80.0% versus 82.5% ( p = 0.89), and limb salvage rates were 83.3% versus 100% ( p = 0.14). For below-knee surgery, 1- and 2-year primary patency rates in Omniflow versus ePTFE grafts were 36.0% versus 41.8% ( p = 0.60) and 36.0% versus 31.1% ( p = 0.87). Secondary patency rates were 66.8% versus 75.2% at 1 year ( p = 0.53) and 58.8% versus 48.3% ( p = 0.77) at 2 years. Below-knee limb salvage rates for Omniflow versus ePTFE after 2 years were 88.0% versus 68.3% ( p = 0.28), respectively. Aneurysmal degeneration occurred in 2/25 (8%) in the Omniflow group and 0/35 (0%) in the ePTFE group. Bypass infections occurred in 2/25 (8%) in the Omniflow group and 0/35 (0%) in the ePTFE group ( p = 0.09). Conclusion: Omniflow bypasses were more commonly implanted in patients with higher limb infection rate as confirmed with a higher adapted WIfI score. A trend toward a higher infection rate of Omniflow grafts was observed but not statistically significant. Graft infection rates were relatively low and treatable with antibiotics. No significant difference in graft performance was observed. The choice between the two studied grafts remains based on surgeon’s preference.

scholarly journals Significant perioperative morbidity accompanies contemporary infrainguinal bypass surgery: An NSQIP report

2009 ◽  
Vol 50 (2) ◽  
pp. 299-304.e4 ◽  
Author(s):  
Glenn M. LaMuraglia ◽  
Mark F. Conrad ◽  
Tom Chung ◽  
Matthew Hutter ◽  
Michael T. Watkins ◽  
...  
Keyword(s):  
Bypass Surgery ◽  
Perioperative Morbidity ◽  
Infrainguinal Bypass

On-table endovascular intervention combined with infrainguinal bypass surgery—A district general hospital experience

2011 ◽  
Vol 11 (04) ◽  
pp. 238-240
Author(s):  
Chowdary Potula Pratap ◽  
Ravi Pararajasingam ◽  
Sudheer Bathina ◽  
Louise Harrison ◽  
Shirley Partington ◽  
...  
Keyword(s):  
General Hospital ◽  
Bypass Surgery ◽  
District General Hospital ◽  
Endovascular Intervention ◽  
Infrainguinal Bypass ◽  
Hospital Experience

scholarly journals USE OF BIOPROSTHESIS WITH EXTERNAL SUPPORT BY KNITTED NITINOL MESH AS A CONDUIT IN INFRAINGUINAL BYPASS SURGERY: RANDOMIZED CONTROLLED TRIAL

2017 ◽  
Vol 2 (6) ◽  
pp. 114-117 ◽  
Author(s):  
Андрей Ивченко ◽  
Andrey Ivchenko ◽  
Андрей Шведов ◽  
Andrey Shvedov ◽  
Олег Ивченко ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Bypass Surgery ◽  
Controlled Trial ◽  
External Support ◽  
Randomized Controlled ◽  
Infrainguinal Bypass

scholarly journals Elevated Preoperative Neutrophil-lymphocyte Ratio is Asociated with Poor Patency and Major Adverse Limb Events After Infrainguinal Bypass Surgery Revascularization

2019 ◽  
Vol 58 (6) ◽  
pp. e228-e229
Author(s):  
Julio G. Hernández ◽  
Cesar V. Casariego ◽  
Ignacio M. Guisasola ◽  
Ilsem V. Laime Álvarez ◽  
Jhenifer U. Matailo ◽  
...  
Keyword(s):  
Bypass Surgery ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Infrainguinal Bypass
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