| Late Mortality after Reconstructive
Surgical Treatment of Atherosclerotic Occlusive Disease |
| Hiroki Yoshida |
Yuichi Izumi |
Katsuaki Magishi |
| Kazuyuki Tanaka |
Hiroshi Kubota |
|
(Department of Thoracic and Cardiovascular Surgery,
Nayoro City Hospital, Nayoro, Japan)
|
We reviewed the clinical course
of 127 patients who underwent treatment for atherosclerotic disease
between June 1993 and January 2001. There were 108 men and 19
women. The ages ranged from 49 to 88 years with a median age
of 71.2 at the time of the first operation. Major risk factors
included ischemic heart disease (21%) and diabetes mellitus (20%).
Ninety-five percent of the patients were followed successfully
and the follow-up period ranged from 0 to 90 months with a mean
of 33 months. Two patients died perioperatively due to myocardial
infarction. There were 29 late deaths. The overall actuarial
survival rate was 69.7% at 5 years. The 5-year actuarial survival
rate and the mean survival time for men and women were 71.6%,
66.1 months and 62.3%, 58.9 months. The 5-year late survival
rate and the mean survival time for patients with and without
ischemic heart disease were 57.0%, 57.4 months and 74.2%, 68.5
months. The differences were not statistically significant. The
5-year late survival rate and the mean survival time for patients
with and without diabetes mellitus were 65.5%, 59.1 months and
70.9%, 67.4 months. The differences were not statistically significant.
Amputation was performed in 7 patients, the actuarial survival
rate at 1 year and the mean survival time were 42.9%, 7.1 months
for patients with amputation, and 93.0%, 69.5 months without
amputation (P＜0.01).
Jpn. J. Cardiovasc. Surg. 31：262-265 (2002) |
|
