577 Infra-Inguinal Bypass Graft Surveillance Is an Opportunity to Optimise Statin and Antiplatelet Therapy to Reduce 12-Month Major Amputation and Mortality Rates
نویسندگان
چکیده
Abstract Aim Infra-inguinal bypass graft failure within the first two postoperative years can result from stenotic lesions conduit and near anastomosis. This study assesses surveillance uptake, patency, amputation, death rates among infra-inguinal surgery patients at 1, 6 12-months postoperatively. Method Patients undergoing a single vascular centre between 1st January 2018 31st December 2019 were identified prospectively collected database. Primary outcomes postoperatively included: duplex-ultrasound (DUS) major amputations, rates. Statistical analysis with SPSS® was performed using chi-squared tests paired sample t-tests. Results Of 91 included, 79.1% men median(IQR) age 71(62–76). At 12 months, DUS uptake 74.2%, 77.5% 73.3% respectively, primary-assisted patency 88.2%, 78.8% 65.3% respectively secondary 97.6%, 96.3% respectively. Major amputation months 5.4%, 8.6%, 8.6% Death 3.2%, 5.4% 10.8% on statin therapy post-operatively had lower 12-month mortality than those not (7.7% vs 30.0%, p=.028). rate prescribed antiplatelet (6.3% 40%, p=.008). Conclusions is vital opportunity to adequately optimise post-revascularisation reduce
منابع مشابه
Antiplatelet therapy to prevent coronary artery bypass graft occlusion.
O cclusion rates after coronary artery bypass surgery rise from about 10-15% per distal anastomosis in the first month to approximately 16-26% at 1 year, 2% per year in the next 5 years, and 5% per year for the remainder of the decade. Rates are thus about 37% at 5-7 years and 55% at 12 years.1 As a result, the identification of a safe and effective medical therapy to prevent occlu-sion, such a...
متن کاملThyroid function in major thalassemia patients: Is it related to height and chelation therapy?
Background: One of the most common endocrine problems in major beta-thalassemia is hypothyroidism (HT). The aim of this study was to evaluate thyroid function status in major beta-thalassemia patients older than 10 years old. Methods: This cross sectional study was carried out on thalassemia major patients registered on Thalassemia Center of Amirkola Children Hospital in Babol. A questionnaire ...
متن کاملHoney as an antioxidant therapy to reduce cognitive ageing
This paper reviews the potential role of honey as a therapeutic antioxidant to reduce oxidative stress and improve cognitive ageing. All articles indexed to PubMed Central (PMC) were searched using the following key words: honey, antioxidant, memory and ageing. Honey is a natural insect-derived product with therapeutic, medicinal and nutritional values. Antioxidant properties of honey quench bi...
متن کاملa comparison of teachers and supervisors, with respect to teacher efficacy and reflection
supervisors play an undeniable role in training teachers, before starting their professional experience by preparing them, at the initial years of their teaching by checking their work within the proper framework, and later on during their teaching by assessing their progress. but surprisingly, exploring their attributes, professional demands, and qualifications has remained a neglected theme i...
15 صفحه اولpetrology and geochemistry of khar-bash (western shahrood) and its relation ship to iron mineralization
منطقه مورد مطالعه در 23 کیلومتری جنوب غرب شهرستاشاهرود قرار دارد که در نقشه 100000/1 شاهرود قرار گرفته است.ناحیه مورد مطالعه در تقسیمات ساختاری ایران بخشی از زون البرز شرقی است . در طی سنوزوئیک این زون به شدت تحت تأثیر فازهای کوهزایی آلپی قرار گرفته و فعالیت های آتشفشانی انوسن در قسمت های غربی آن دیده می شود . از نظر ترکیب سنگ شناسی منطقه مورد مطالعه متنوع و بیشتر شامل سنگ های رسوبی مانند : آ...
15 صفحه اولذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac269.531