Volume-Outcome Relationships in Lower Extremity Arterial Bypass Surgery

Follow-up of Lower-extremity Arterial Bypass Surgery

Volume-outcome relationships in coronary artery bypass graft surgery patients: 5-year major cardiovascular event outcomes.

OBJECTIVE Using nationwide population-based data from Taiwan's National Health Insurance database, we examined the association between hospitals' coronary artery bypass grafting surgery volume and 5-year major adverse cardiovascular events. METHODS We used Taiwan's National Health Insurance claims data linked to the Cause of Death file for the years approximately 1997 to 2004. All 5718 patien...

Lower Extremity Peripheral Arterial Disease

Eight to 12 million people in United States have PAD (Allison et al. 2007). Only ~10% of patients with PAD have classic intermittent claudication (IC), ~50% have atypical leg symptoms and ~40% are asymptomatic (Hiatt 2001). Its prevalence significantly increases with age; 12 – 20% of those above the age of 65 years suffer from PAD (Ostchega al. 2007). The prevalence of PAD is similar in men and...

Tourniquets in arterial bypass surgery.

BACKGROUND successful infra-popliteal bypass depends on precise, atraumatic technique in performing the distal anastomosis. The use of a tourniquet facilitates the distal anastomosis, reducing dissection, avoiding traumatising clamping of the vessels and providing an "uncluttered" operating field. Despite these advantages the technique is under-used. OBJECTIVES to review the use of tourniquet...

Treatment of failing vein grafts in patients who underwent lower extremity arterial bypass

PURPOSE We attempted to determine risk factors for the development of failing vein graft and optimal treatment in patients with infrainguinal vein grafts. METHODS We retrospectively reviewed a database of patients who underwent infrainguinal bypass using autogenous vein grafts due to chronic atherosclerotic arterial occlusive disease of lower extremity (LE) at a single institute between Septe...