Effect of perioperative complications after endovascular therapy in patients with peripheral artery disease due to femoropopliteal lesions

• Material Type: 博士論文
• Title: Effect of perioperative complications after endovascular therapy in patients with peripheral artery disease due to femoropopliteal lesions
• Author/Editor: Sato, Kei
• Author Heading: Sato, Kei
• Publication, Distribution, etc.: 三重大学
• Publication Date: 2017-03-24
• Publication Date (W3CDTF): 2017-03-24
• Degree grantor/type: 三重大学
• Date Granted: 2017-03-24
• Date Granted (W3CDTF): 2017-03-24
• Dissertation Number: 甲医学第1817号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 甲医学第1817号
• Text Language Code: eng
• Alias of Author: サトウ, ケイ; 佐藤, 圭
• Target Audience: 一般
• Note (General): application/pdf; Objective: Despite wide use, high initial success, and acceptable durability of endovascular therapy (EVT) for femoropopliteal (FP) lesions, the frequency of 30-day perioperative complications (POCs) and their effect on clinical outcomes have not been systematically evaluated, which is the subject of this study. Methods: We used a multicenter database of 2145 consecutive patients (70% male; overall mean age, 73 6 9 years) who successfully underwent EVT for FP lesions to investigate independent predictors of POCs (logistic regression analysis) and effect of POCs on prognostic outcomes (Cox proportional regression). Results: POCs were observed in 209 patients (10%). In multivariate logistic regression analysis, body mass index <18.5 kg/m2, critical limb ischemia, and TransAtlanic Inter-Society Consensus for the Management of Peripheral Arterial Disease class D lesions were independently associated with POCs (adjusted odds ratios [95% confidence intervals], 2.0 [1.3-2.9], 2.5 [1.9-3.3], and 1.6 [1.2-2.1], respectively). After risk stratification of POCs according to the number of these risk factors, the incidence of POCs was higher in the groups with higher scores. Follow-up for >30 days (mean, 2.3 6 1.8 years) was available for 2079 of 2145 patients. A Cox hazard regression model adjusted for baseline clinical characteristics showed POCs were negatively and independently associated with future occurrence of major adverse limb events (defined as major amputation and major reintervention) or death (hazard ratio [95% confidence interval], 1.6 [1.2-2.1]; P < .05). Conclusions: Body mass index <18.5 kg/m2, critical limb ischemia, and TransAtlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease class D lesion were positively associated with POCs after EVT for FP lesions. The occurrence of POCs may adversely affect clinical outcomes in the chronic phase. (J Vasc Surg 2015;61:1272-7.); 本文 / Department of Cardiology, Sakakibara Heart Institute; Department of Cardiology, Mie University Graduate School of Medicine; 6p
• DOI: info:doi/10.1016/j.jvs.2014.12.051; https://doi.org/info:doi/10.1016/j.jvs.2014.12.051
• Persistent ID (NDL): info:ndljp/pid/10993796; https://dl.ndl.go.jp/pid/10993796
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2017-12-04T02:02:48+09:00
• Date Created (W3CDTF): 2017-11-07
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10076/00017117; https://mie-u.repo.nii.ac.jp/records/11473
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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2023-12-15 再収集