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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2007, Number 1

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Rev Mex Angiol 2007; 35 (1)

Factors of wrong predict in surgery of abdominal aortic reconstruction in the Service of Angiology and Vascular Surgery of C.M.N. La Raza

Flores RC, Enríquez VME, Cossío ZA, Flota RCM, López PJD

Language: Spanish
References: 30
Page: 11-14
PDF size: 83.01 Kb.


ABSTRACT

Objective: To determine the factors related to wrong predicts in the perioperatory of the surgery open of abdominal aortic reconstruction in our unit.
Material and methods: Design retrospective, transverse, observational and analytic that include subjected patients to abdominal aortic reconstruction opened up in the period of January of 2000 to December of 2005. The studied variables were: abdominal aortic reconstruction, age, ischemic cardiopathy, chronic nephropaty and chronic obstructive pulmonary disease. Applies for the statistical analysis the analysis univariated, bivariated and multivariated.
Results: 96 patients were included during the period of study, being a mortality perioperatory in six cases (6.25%) that take as a wrong predict. By means of the analysis multivariate the factors statistically related to wrong predict were age older than 65 years and the presence of chronic obstructive pulmonary disease, while the ischemic cardiopathy and the alone chronic nephropaty were only associated factors.
Conclusion: The factors of wrong predict in surgery of abdominal aortic reconstruction in the service of Angiology and Vascular Surgery of C.M.N La Raza are age older than 65 years and the presence of chronic obstructive pulmonary disease.


REFERENCES

  1. Brewster DC. Direct reconstruction for aortoiliac occlusive disease. In: Rutherford RB (ed.). Vascular Surgery. New York, USA: W.B. Saunders Company; 2005, p. 1106-36.

  2. DeBakey ME, Lawrie GM, Glaeser DH. Patterns of atherosclerosis and their surgical significance. Ann Surg 1985; 201: 115-23.

  3. Brunkwall J, Hauksson HD, Bengtsson HA. Aneurysm of the aortoiliac arterial system: frequency of occurrence. J Vasc Surg 1989; 10: 381-90.

  4. Perler BA. Complications of vascular surgery and ischemia: prevention and management. In: Rutherford RB (ed.). Vascular Surgery. New York, USA: W.B. Saunders Company; 2005, p. 821-957.

  5. Mackey WC, Fleisher LA, Haider S, Sheikh S, Cappelleri JC, Wang Q. Perioperative myocardial ischemic injury in high-risk vascular surgery patients: Incidence and clinical signifance in a prospective clinical trial. J Vasc Surg 2006; 43: 533-8.

  6. Nowygrod R, Egorova N, Greco G, Anderson P, Gelijns A, Moskowitz A. Kent G. Trends, complications and mortality in peripheral vascular surgery. J Vasc Surg 2006; 43: 205-16.

  7. Schermerhorn MC, Cronenwett JL. Abdominal aortic and iliac aneurysms. In: Rutherford RB (ed.). Vascular Surgery. New York, USA: W.B. Saunders Company; 2005, p. 1408-52.

  8. Brady AR, Fowkes FG, Greenhalgh RM. Risk factors for postoperative death following elective surgical repair of abdominal aortic aneurysm: results from the UK small aneurysm trial. On behalf of the UK small aneurysm trial participants. Br J Surg 2000; 87: 742-55.

  9. Johnston KW. Multicenter prospective Study of Nonruptured Abdominal Aortic Aneurysm: Part II. Variables predicting morbidity and mortality. J Vasc Surg 1999; 9: 437-45.

  10. Chang JK, Calligaro KD, Lombardi JP, Dougherty MJ. Factors that predict prolonged length of stay after aortic surgery. J Vasc Surg 2003; 38: 335-9.

  11. Dimick JB, Cowan JA, Henke PK, Wainess RM, Posner S, Stanley JC, Upchurch GR. Hospital volume-related differences in aorto-bifemoral bypass operative mortality in the United States.

  12. Thomaz JB, Belczak CEQ. Tratado de Flebologia e Linfologia. 1ª Ed. Rio de Janeiro: Livraria e Editora Rubio Ltda; 2006.

  13. Rutherford RB, Vascular Surgery. Vol II, 5ª Ed. EUA: WB Saunders Company; 2000; p. 2021-35.

  14. Raju S. Venous leg ulcer: Surgical versus non-surgical treatments. Phlebolymphology 2001; 35: 6-10.

  15. Cazaubon M. A global approach to world epidemiology in chronic venous disorders. Phlebolymphology 2006; 14: 46.

  16. Guerrero A, Serrano J, Cossío A, Guevara E, Rojas F. Tratamiento quirúrgico de la úlcera varicosa de miembros inferiores. Rev Mex Angiol 2003; 31: 72-80.

  17. Raju S, Villavicencio JL. Tratamiento quirúrgico de las enfermedades venosas. 1ª Ed. México: Mc Graw-Hill Interamericana; 1999.

  18. Haimovici H. Vascular surgery. 5a Ed. EUA: Blackwell Publishing Inc; 2004, p. 1058-71, 1115-30.

  19. Giannoukas AD, Kostas Th, Ioannou Ch, Tsetis D, Gogas Ch, Kafetzakis A, et al. Perforator reflux and clinical presentation in primary superficial venous insufficiency. Eur J Vasc Endovasc Surg 2003; 25: 88-9.

  20. Delis KT. Perforator vein incompetence in chronic venous disease: a multivariate regression analysis model. J Vasc Surg 2004; 40: 626-33.

  21. Danielsson G, Eklof B, Kistner RL, Association of venous volume and diameter of incompetent perforator veins in the lower limb – implications for perforator vein surgery. Eur J Vasc Endovasc Surg 2005; 30: 670-3.

  22. Blomgren L, Johansson G, Dahlberg-Ajernab A, Thermaenius P, Bergqvist D. Changes in superficial a perforating vein reflux after varicose vein surgery. J Vasc Surg 2005; 42: 315-20.

  23. Gohel MS, Taylor M, Earnshaw JJ, Heather BP, Poskitt KR, Whyman MR. Risk factors for delayed healing and recurrence of chronic venous leg ulcers – an analysis of 1324 legs. Eur J Vasc Endovasc Surg 2005; 29: 74-7.

  24. Rubio-Terrés C, Domínguez-Gil HA. Análisis coste efectividad del tratamiento de pacientes con úlceras venosas debidas a la insuficiencia venosa crónica con fracción flavonoica purificada y micronizada y terapia compresiva o con terapia compresiva solamente. Rev Esp Econ Salud 2005; 4: 87-94.

  25. Iafrati MD, Pare GJ, O’Donnell TF, Estes J. Is the nihilistic approach to surgical reduction of superficial and perforator vein incompetence for venous ulcer justified? J Vasc Surg 2002; 36: 1167-74.

  26. Mendes RR, Marston WA, Farber MA, Keagy BA. Treatment of superficial and perforator venous incompetence without deep venous insufficiency: is routine perforator ligation necessary? J Vasc Surg 2203; 38: 891-5.

  27. Masuda EM, Kessler DM, Lurie F, Puggioni A, Kistner R, Eklof B. The effect of ultrasound-guided sclerotherapy of incompetent perforator veins on venous clinical severity and disability scores. J Vasc Surg 2006; 43: 551-7.

  28. TenBrook JA, Iafrati MD, O’Donnell TF, Wolf MP, Hoffman SN, Pauker SG, et al. Systematic review of outcomes after surgical management of venous disease incorporating subfascial endoscopic perforator surgery. J Vasc Surg 2004; 39: 583-9.

  29. Sybrandy JEM, Van-Gent WB, Pierik EGJM, Wittens CHA. Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: Long-term follow-up. J Vasc Surg 2001; 33: 1028-32.

  30. Rijcke PAR, Hop WCJ, Wittens CHA. Subfascial endoscopic perforating vein surgery as treatment for lateral perforatin vein incompetence and venous ulceration. J Vasc Surg 2003; 38: 799-803.




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