The Evaluation Of Endvascular Repair For Arteriosclerosis Obliterans Patients

Background:The choice of treatment for Arteriosclerosis obliterans patients depends on the long-term patency rate after revascularization and progress of disease. Generally, arterial bypass graft for treatment of Arteriosclerosis obliterans has much longer patency. This treatment is suitable for TASC C,D type long segment occlusion of superficial femoral artery, TASC C,D type short segment occlusion of superficial femoral artery should choose endovascular repair. However, some survey release that there is no difference in patency rate between the various surgical procedures.Object:To compare the therapeutic effects of arterial bypass graft and endovascular repair for Arteriosclerosis obliterans patients.Methods:From Dec 2005 to Dec 2010, the data of 35 patients with Arteriosclerosis obliterans treated in Qilu hospital of Shandong university were analyzed.20 patients received endovascular repair, the remaining were treated by arterial bypass graft. Perioperative information of 35 patients was collected to evaluate the effect of these two different treatments.Results:In all 20 patients got repaired by endovascular repair,2 patients without distal outflow tract received no beneficence and one of them with amputation. By comparison, patients undergoing endovascular repair has significant reduction in operative time,postoperative hospital stay. There is no patient dead or with renal inefficiency who underwent endovascular repair. It means that endovascular repair is safe. However, there is no difference between the two groups in postoperative amputation rate and changes of ankle-brachial index.Conclusion:1,Endovascular repair with stent is beneficial for ASO patients because of lower morality and incidence of renal inefficiency.2,Patients undergoing endovascular repair has significant reduction in operative time,postoperative hospital stay. This treatment can be used to cure old patient with high surgical risk.3,The patency rate of endovascular repair should be analyzed via more following-up data to evaluate the effect.