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Title: Radial artery bypass graft is a feasible and durable conduit for challenging infrainguinal revascularization: 17 years of Melbourne experience.
Austin Authors: Mees, B M E;Robinson, D R;Fell, Gary;Chan, A T W
Affiliation: Department of Vascular Surgery, Austin Health, Melbourne, Australia
Issue Date: 29-Apr-2014
Publication information: European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society For Vascular Surgery 2014; 48(1): 80-7
Abstract: The superiority of autogenous venous conduits in infrainguinal bypass surgery is well established. In the absence of suitable leg or arm veins the radial artery can be utilized as an alternative autogenous conduit. In contrast to cardiac surgery, experience with the radial artery as a conduit for infrainguinal bypass surgery is limited. The purpose of this study was to review the outcomes of our radial artery bypasses over the last 17 years.All radial artery bypasses performed between 1995 and 2012 were identified from a prospective database. Patency, limb salvage, and survival were calculated using the Kaplan-Meier survival estimate method.Twenty-nine radial artery bypasses were performed in 28 patients. Median follow-up was 55 months (range 1-170). Twelve-month primary, assisted primary, and secondary patency rates were 49%, 62%, and 73% respectively; Both 3-year and 5-year primary, assisted primary, and secondary patency rates were 49%, 56% and 67% respectively. Limb salvage rate was 75% at 1- and 5-year follow-up. Patient survival at 1, 3, and 5 years was 96%, 88%, and 76%.For patients with need of challenging infrainguinal revascularization without suitable autogenous venous conduit, a radial artery bypass can be performed safely with favorable long-term patency and limb salvage rates.
Gov't Doc #: 24785647
DOI: 10.1016/j.ejvs.2014.03.016
Journal: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
Type: Journal Article
Subjects: Infrainguinal bypass
Peripheral vascular disease
Radial artery
Aged, 80 and over
Angioplasty, Balloon
Feasibility Studies
Graft Occlusion, Vascular.etiology.physiopathology.therapy
Kaplan-Meier Estimate
Limb Salvage
Middle Aged
Peripheral Arterial
Radial Artery.physiopathology.radiography.transplantation
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Vascular Grafting.adverse effects.mortality
Vascular Patency
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