Peripheral vascular bypass in juvenile-onset diabetes mellitus: are aggressive revascularization attempts justified?

Abstract:

:This study was performed to evaluate the results of peripheral vascular reconstruction for arterial occlusive disease in patients with juvenile-onset diabetes mellitus. The results of 67 bypass procedures performed on 60 patients with juvenile-onset diabetes mellitus between Jan. 1, 1984 and Dec. 31, 1989, were reviewed. These patients had a mean age of 44.4 years (range, 29 to 59 years), with an average age of onset of diabetes mellitus of 9.8 years (range, 1 to 19 years). These procedures comprised 5.5% (67 to 1214) of the bypasses performed on diabetic patients during the same time period at a single institution. Fifty-four of 67 (91%) procedures were performed for limb salvage. Fifty-four (81%) procedures were primary infrainguinal bypasses with saphenous vein (femoropopliteal 19, femorodistal or popliteal-distal 35). Six procedures (9%) were revision procedures, four (6%) were in-flow procedures, and three (4%) were infrainguinal procedures with polytetrafluoroethylene. Thirty-day morbidity and mortality rates were 31% and 0%, respectively. Actuarial patency and limb salvage rates of the primary vein graft group were 66.0% (+/- 10.7) and 83.4% (+/- 8.0%), respectively, at 24 months. Cumulative survival of the entire group at 2 years was 84.1%. Although follow-up in this study is relatively short (24 months), the results suggest that the outcome of vascular reconstruction in patients with juvenile-onset diabetes mellitus is acceptable when compared with procedures performed in adult-onset diabetic and nondiabetic populations. The presence of juvenile-onset diabetes mellitus should not diminish the vascular surgeon's expectations of a successful outcome when considering lower extremity revascularization in these patients.

journal_name

J Vasc Surg

authors

Kwolek CJ,Pomposelli FB,Tannenbaum GA,Brophy CM,Gibbons GW,Campbell DR,Freeman DV,Miller A,LoGerfo FW

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

394-400; discussion 400-1

issue

2

eissn

0741-5214

issn

1097-6809

pii

0741-5214(92)90261-6

journal_volume

15

pub_type

杂志文章
  • Conserving resources after carotid endarterectomy: selective use of the intensive care unit.

    abstract::A retrospective review was undertaken of a random sample (N = 73) comprising 50% of carotid endarterectomies performed during 1986 to evaluate the necessity of routine postoperative intensive care unit (ICU) admission after carotid endarterectomy. Severity of illness was determined with use of the Acute Physiology Sco...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1991.33418

    authors: O'Brien MS,Ricotta JJ

    更新日期:1991-12-01 00:00:00

  • Endovascular treatment of thoracoabdominal aortic aneurysms.

    abstract:OBJECTIVE:This study assessed the role of multibranched stent grafts for thoracoabdominal aortic aneurysm (TAAA) repair. METHODS:Self-expanding covered stents were used to connect the caudally directed cuffs of an aortic stent graft with the visceral branches of a TAAA in 22 patients (16 men, 6 women) with a mean age ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2007.08.032

    authors: Chuter TA,Rapp JH,Hiramoto JS,Schneider DB,Howell B,Reilly LM

    更新日期:2008-01-01 00:00:00

  • Vitamin D deficiency is associated with mortality and adverse vascular access outcomes in patients with end-stage renal disease.

    abstract:BACKGROUND:Plasma 25 hydroxycholecalciferol (vitamin D) deficiency has been associated with adverse cardiovascular outcomes in epidemiologic studies. Chronic kidney disease is associated with loss of 1α-hydroxylase and consequently vitamin D deficiency. We hypothesized that vitamin D deficiency was associated with incr...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2014.01.037

    authors: Walker JP,Hiramoto JS,Gasper WJ,Auyang P,Conte MS,Rapp JH,Lovett DH,Owens CD

    更新日期:2014-07-01 00:00:00

  • The value of the initial post-EVAR computed tomography angiography scan in predicting future secondary procedures using the Powerlink stent graft.

    abstract:OBJECTIVE:Current long-term surveillance after endovascular abdominal aortic aneurysm repair (EVAR) is based on high-resolution contrast-enhanced computed tomography (CT) scans at scheduled, lifelong intervals. The cancer and nephrotoxicity risks of interval CT scanning and prolonged radiation exposure are concerning. ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2010.06.019

    authors: Patel MS,Carpenter JP

    更新日期:2010-11-01 00:00:00

  • Crescendo transient ischemic attacks: a surgical imperative. Veterans Affairs trialists.

    abstract:PURPOSE:In a randomized, prospective, multicenter trial at 16 medical centers, 189 of 5000 patients screened with cerebrovascular disease were identified as having angiographic internal carotid artery stenosis (> 50%) corresponding to presenting symptoms of transient ischemic attacks (TIAs), transient monocular blindne...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1067/mva.1993.42734

    authors: Wilson SE,Mayberg MR,Yatsu F,Weiss DG

    更新日期:1993-02-01 00:00:00

  • Temporin A as a prophylactic agent against methicillin sodium-susceptible and methicillin sodium-resistant Staphylococcus epidermidis vascular graft infection.

    abstract:OBJECTIVE:The purpose of this study was to investigate the efficacy of temporin A as a prophylactic agent in a rat model of vascular graft infection from methicillin sodium-susceptible and methicillin sodium-resistant Staphylococcus epidermidis. METHODS:The prospective, randomized, controlled animal study set in a res...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2002.127530

    authors: Ghiselli R,Giacometti A,Cirioni O,Mocchegiani F,Orlando F,Kamysz W,Del Prete MS,Lukasiak J,Scalise G,Saba V

    更新日期:2002-11-01 00:00:00

  • Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation.

    abstract::The concomitant presence of a thoracic aortic aneurysm and an abdominal aortic aneurysm in patients considered for renal transplantation is extremely rare. To our knowledge, this is the first case report of the successful treatment of multilevel aortic aneurysms together with renal transplantation. The treatment modal...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2009.02.011

    authors: Matia I,Pirk J,Lipar K,Adamec M

    更新日期:2009-07-01 00:00:00

  • Total laparoscopic abdominal aortic aneurysm repair with reimplantation of the inferior mesenteric artery.

    abstract::We performed a total laparoscopic reimplantation of the inferior mesenteric artery (IMA) during laparoscopic infrarenal aortic aneurysm repair. The postoperative course was uneventful, and angiograms showed a patent IMA after reimplantation. To our knowledge, total laparoscopic reimplantation of the IMA in human being...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2004.01.015

    authors: Javerliat I,Coggia M,Di Centa I,Kitzis M,Mercier O,Goëau-Brissonnière O

    更新日期:2004-05-01 00:00:00

  • Antisense basic fibroblast growth factor gene transfer reduces early intimal thickening in a rabbit femoral artery balloon injury model.

    abstract:PURPOSE:The purpose of this study was to determine whether endogenous basic fibroblast growth factor (bFGF) production contributes to the intimal hyperplastic response to injury in a model of rabbit femoral artery balloon injury. Inhibition of de novo production of bFGF protein was targeted by intramural adenoviral gen...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(98)70299-x

    authors: Neschis DG,Safford SD,Hanna AK,Fox JC,Golden MA

    更新日期:1998-01-01 00:00:00

  • Relative accuracy of the diagnostic components of noninvasive carotid arterial tests: a comparison of pulsed Doppler arteriography and spectrum analysis.

    abstract::Pulsed Doppler ultrasonography (UA), sound spectrum analysis, and subjective interpretation of the audible signal are valuable methods for assessing carotid arterial disease; however, the relative contribution of each in making a diagnosis is disputed. To investigate this issue, 258 noninvasive carotid studies with me...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1986.avs0030502

    authors: Moore DJ,Miles RD,Ohgi S,Landholt G,Call PJ,Kolm P,Sumner DS

    更新日期:1986-03-01 00:00:00

  • A novel approach to the management of a recurrent lymphocele following a femoral-femoral bypass.

    abstract::An 86-year-old man presented with a recurrent groin lymphocele following endovascular abdominal aortic aneurysm repair using an aorto-uni-iliac reconstruction with polytetrafluoroethylene femoral-femoral crossover. Following this procedure, the patient developed a groin lymphocele. This fluid collection was treated wi...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.04.049

    authors: Weaver MV,Tadros RO,Phangureh VS,Faries PL,Lookstein RA,Marin ML

    更新日期:2014-04-01 00:00:00

  • Clinical outcomes of single versus staged hybrid repair for thoracoabdominal aortic aneurysm.

    abstract:OBJECTIVE:We investigated the outcomes of hybrid repair of thoracoabdominal aortic aneurysms and performed meta-analyses and meta-regressions to assess whether the number of stages during hybrid repair is associated with mortality. METHODS:Review methods were according to the Preferred Reporting Items for Systematic R...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jvs.2013.04.061

    authors: Canaud L,Karthikesalingam A,Jackson D,Cresswell L,Cliff M,Markar SS,Maytham G,Black S,Thompson M

    更新日期:2013-11-01 00:00:00

  • Routine surveillance after carotid endarterectomy: does it affect clinical management?

    abstract:PURPOSE:Although routine noninvasive surveillance is recommended after carotid endarterectomy (CEA), there are little data to show that identification and eradication of recurrent carotid artery stenosis are necessary to avoid the risk of subsequent neurologic complications. METHODS:We reviewed our experience over a 1...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Mattos MA,van Bemmelen PS,Barkmeier LD,Hodgson KJ,Ramsey DE,Sumner DS

    更新日期:1993-05-01 00:00:00

  • High prevalence of proximal claudication among patients with patent aortobifemoral bypasses.

    abstract:BACKGROUND:Proximal (ie, buttock, hip) claudication can result from impaired perfusion in the hypogastric area after aortobifemoral bypass (ABF) despite normal femorodistal blood flow provided by the patent bypass. The proportion of patients that experience proximal claudication after ABF is unknown, and arguments for ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2006.09.050

    authors: Jaquinandi V,Picquet J,Bouyé P,Saumet JL,Leftheriotis G,Abraham P

    更新日期:2007-02-01 00:00:00

  • Totally laparoscopic aortic repair: a new device for direct transperitoneal approach.

    abstract::On the basis of our experience with more than 71 cases of totally laparoscopic aortic surgery by the retrocolic approach, we have developed a new technique by a simple transperitoneal approach. The purpose of this report is to describe that technique and the novel laparoscopic bowel retractor used to ensure stable exp...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2005.01.038

    authors: Cau J,Ricco JB,Deelchand A,Berard X,Cau B,Costecalde M,Chaufour X,Barret F,Barret A,Bossavy JP

    更新日期:2005-05-01 00:00:00

  • Repair of type IV thoracoabdominal aneurysm with a combined endovascular and surgical approach.

    abstract::We report an unusual case of type IV Thoracoabdominal Aneurysm (TAA) with Superior Mesenteric Artery (SMA), celiac artery, and bilateral renal artery aneurysms in a patient who underwent an earlier repair of two infrarenal Abdominal Aortic Aneurysm (AAA) ruptures. Because of the presence of the visceral artery aneurys...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(99)70084-4

    authors: Quiñones-Baldrich WJ,Panetta TF,Vescera CL,Kashyap VS

    更新日期:1999-09-01 00:00:00

  • Grayscale median analysis of primary stenosis and restenosis after carotid endarterectomy.

    abstract:BACKGROUND:Several studies have reported that echolucent carotid lesions, as determined by grayscale median (GSM) analysis, are associated with increased perioperative embolic complications during carotid artery stenting (CAS). However, there is limited research of the predictive value of GSM analysis comparing values ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.10.094

    authors: Pavela J,Ahanchi S,Steerman SN,Higgins JA,Panneton JM

    更新日期:2014-04-01 00:00:00

  • Can carotid endarterectomy improve metabolic status in patients with asymptomatic internal carotid artery flow lesion? Studies with localized in vivo proton magnetic resonance spectroscopy.

    abstract:PURPOSE:Carotid endarterectomy (CEA) has proven to be effective in the prevention of stroke in patients with significant internal carotid artery (ICA) stenosis. However, whether increased cerebral blood flow after CEA improves the cerebral metabolism in patients with asymptomatic ICA flow lesions is unknown. Localized ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2002.126555

    authors: Kim GE,Lee JH,Cho YP

    更新日期:2002-09-01 00:00:00

  • Observations on the calf venous pump mechanism: determinants of postexercise pressure.

    abstract:PURPOSE:We investigated the factors determining postexercise pressure and the relationship of venous valve closure and venous column segmentation to ambulatory venous pressure changes. METHODS:Valve closure and venous segmentation were observed during dynamic ascending phlebography in 40 nonrefluxive limbs and by dupl...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Raju S,Fredericks R,Lishman P,Neglén P,Morano J

    更新日期:1993-03-01 00:00:00

  • Heparin-platelet factor 4 antibodies are frequent after vascular surgery but are not a frequent cause of graft thrombosis or thrombocytopenia.

    abstract:OBJECTIVE:Approximately 10% of infrainguinal bypass surgeries are complicated by early conduit failure. The cause is unclear in most cases. A prospective study was conducted to monitor the development and function of platelet factor 4 (PF4)/heparin antibodies after infrainguinal bypass procedures and to evaluate their ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2008.03.028

    authors: Alexy T,Tucker S,Boyle S,Rowe VL,Weaver FA,Liebman HA

    更新日期:2008-08-01 00:00:00

  • Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience.

    abstract:PURPOSE:Aortoenteric fistula (AEF) is an uncommon but catastrophic complication that can occur either primarily or after aortic reconstruction. Untreated, it is uniformly fatal. Conventional surgical management is associated with a perioperative mortality rate of 25% to 90% and frequent major complications. We reviewed...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2001.119752

    authors: Burks JA Jr,Faries PL,Gravereaux EC,Hollier LH,Marin ML

    更新日期:2001-12-01 00:00:00

  • Immediate and late outcomes of endovascular therapy for lower extremity arteries in Buerger disease.

    abstract:OBJECTIVE:Buerger disease is a rare inflammatory vasculopathy presenting with severe claudication or critical limb ischemia. In this study, we sought to evaluate the feasibility and clinical outcomes of endovascular therapy for Buerger disease involving arteries in the lower extremities. METHODS:Between January 2006 a...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2017.09.020

    authors: Kim DH,Ko YG,Ahn CM,Shin DH,Kim JS,Kim BK,Choi D,Hong MK,Jang Y

    更新日期:2018-06-01 00:00:00

  • Lower extremity computed tomography angiography can help predict technical success of endovascular revascularization in the superficial femoral and popliteal artery.

    abstract:OBJECTIVE:Preprocedural computed tomography angiography (CTA) assists in evaluating vascular morphology and disease distribution and in treatment planning for patients with lower extremity peripheral artery disease (PAD). The aim of the study was to determine the predictive value of radiographic findings on CTA and tec...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2017.02.031

    authors: Itoga NK,Kim T,Sailer AM,Fleischmann D,Mell MW

    更新日期:2017-09-01 00:00:00

  • Current indications for axillounifemoral and axillobifemoral bypass grafts.

    abstract::Revascularization of the lower extremities may require an axillofemoral bypass when an aortobifemoral bypass is contraindicated. Thirty-one patients underwent axillounifemoral and 59 had an axillobifemoral bypass, with a mortality rate of 9%. The indication for operation was limb salvage in 67%, intra-abdominal sepsis...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Kalman PG,Hosang M,Cina C,Johnston KW,Ameli FM,Walker PM,Provan JL

    更新日期:1987-06-01 00:00:00

  • The percutaneous greenfield filter: outcomes and practice patterns.

    abstract:OBJECTIVE:The percutaneous steel Greenfield filter (PSGF) is similar in appearance to the titanium Greenfield filter (TGF) but differs in the length and orientation of the attachment hooks and in the over-the-wire delivery system. Because these differences improve ease of insertion and attachment, they may affect patie...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2000.110346

    authors: Greenfield LJ,Proctor MC

    更新日期:2000-11-01 00:00:00

  • Variation in timing and type of groin wound complications highlights the need for uniform reporting standards.

    abstract:BACKGROUND:Groin wound infections represent a substantial source of patients' morbidity and resource utilization. Definitions and reporting times of groin infections are poorly standardized, which limits our understanding of the true scope of the problem and potentially leads to event under-reporting. Our objective was...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2018.05.221

    authors: Audu CO,Columbo JA,Sun SJ,Perri JL,Goodney PP,Stone DH,Nolan BW,Suckow BD

    更新日期:2019-02-01 00:00:00

  • Recurrent thromboembolism in patients with vena cava filters.

    abstract:BACKGROUND:Patients with venous thromboembolic disease are treated with anticoagulation or vena cava filter placement to prevent pulmonary embolism. A recent report suggested that filter placement may increase the risk of recurrent deep venous thrombosis (DVT) and prompted a review of our experience. METHODS:Prospecti...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2001.111733

    authors: Greenfield LJ,Proctor MC

    更新日期:2001-03-01 00:00:00

  • Primary aortoenteric fistula following endovascular aortic repair due to type II endoleak.

    abstract::An 84-year-old female was lost to follow-up after endovascular aneurysm repair at another hospital with known type II endoleak. She later presented with presyncope and hematemesis. A referral center esophagogastroduodenoscopy showed possible duodenal diverticulum. She had recurrent symptoms and repeat computed tomogra...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2011.04.049

    authors: McPhee JT,Soybel DI,Oram RK,Belkin M

    更新日期:2011-10-01 00:00:00

  • Occluding aortic endoluminal stent graft combined with extra-anatomic axillofemoral bypass as alternative management of abdominal aortic aneurysms for patients at high risk with complex anatomic features: a preliminary report.

    abstract:PURPOSE:To describe an exclusion endoluminal technique for management of abdominal aortic aneurysms among high-risk patients with complex anatomic features. METHODS:From January 1995 to December 1996, among 143 patients with infrarenal abdominal aortic aneurysm treated by means of endograft placement, 9 (6.3%) had com...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(98)70090-4

    authors: Le Minh T,Motte S,Hoang AD,Ferreira J,Golzarian J,Dehon P,Cavenaile JC,Michel P,Guyot S,Giot C,Wautrecht JC,Dereume JP

    更新日期:1998-10-01 00:00:00

  • Intermediate-term outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia.

    abstract:OBJECTIVE:Endovascular therapy for chronic mesenteric ischemia (CMI) has been increasingly utilized. Early outcomes compare favorably with open mesenteric bypass--the current gold standard. The goal of this study is documentation of intermediate-term anatomic and functional outcomes of endovascular mesenteric revascula...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2009.06.064

    authors: Peck MA,Conrad MF,Kwolek CJ,LaMuraglia GM,Paruchuri V,Cambria RP

    更新日期:2010-01-01 00:00:00