Abstract:
BACKGROUND:The systemic nature of atherosclerosis compromises medium-term survival following major vascular surgery. Neutrophil-lymphocyte ratio (NLR) is a simple index of systemic inflammatory burden which correlates with survival following percutaneous coronary intervention. METHODS:Patients undergoing elective major vascular surgery in 2 tertiary vascular units were identified from prospectively maintained databases. Factors associated with 2-year mortality were assessed by univariate and multivariate analyses. RESULTS:Over a 4-year period, 1021 patients underwent elective major vascular surgery (carotid endarterectomy, abdominal aortic aneurysm repair, lower limb revascularization). Two-year mortality was 11.2%. In multivariate analysis, preoperative NLR > 5 was independently associated with 2-year mortality (multivariate odds ratio [OR] 2.21; 95% confidence interval [CI] 1.22-4.01). CONCLUSION:Preoperative NLR identifies patients at increased risk of death within 2 years of major vascular surgery. This simple index may facilitate targeted preventive measures for high-risk patients.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Bhutta H,Agha R,Wong J,Tang TY,Wilson YG,Walsh SRdoi
10.1177/1538574410396590subject
Has Abstractpub_date
2011-04-01 00:00:00pages
227-31issue
3eissn
1538-5744issn
1938-9116pii
1538574410396590journal_volume
45pub_type
杂志文章,多中心研究abstract:INTRODUCTION:The use of fenestrated and branched endovascular technologies in complex aortic aneurysm repair (F/BEVAR) is increasing, with a trend toward using longer sealing zones and incorporating more target vessels. Successful aneurysm exclusion and prevention of long-term treatment failure need to be balanced agai...
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doi:10.1177/1538574410375313
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doi:10.1177/1538574414551576
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abstract::Moyamoya disease is a rare cerebrovascular disorder that is characterized by progressive stenosis of the distal portion of the internal carotid artery and its main branches. Here the authors present the first case of spontaneous recanalization of an occluded middle cerebral artery in a woman with moyamoya who had not ...
journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574413495463
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journal_title:Vascular and endovascular surgery
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pub_type: 杂志文章,评审
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journal_title:Vascular and endovascular surgery
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pub_type: 杂志文章,评审
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