Morbidity of femoropopliteal bypass surgery.
Identifieur interne : 000D71 ( PubMed/Checkpoint ); précédent : 000D70; suivant : 000D72Morbidity of femoropopliteal bypass surgery.
Auteurs : Maarten A J. Van De Weijer [Pays-Bas] ; Rombout R. Kruse [Pays-Bas] ; Katja Schamp [Pays-Bas] ; Clark J. Zeebregts [Pays-Bas] ; Michel M P J. Reijnen [Pays-Bas]Source :
- Seminars in vascular surgery [ 1558-4518 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Artère fémorale (), Artère poplitée (), Complications postopératoires (), Complications postopératoires (diagnostic), Complications postopératoires (étiologie), Facteurs de risque, Femelle, Humains, Indicateurs qualité santé, Loi du khi-deux, Maladie artérielle périphérique (), Maladie artérielle périphérique (diagnostic), Maladie artérielle périphérique (mortalité), Mâle, Odds ratio, Procédures de chirurgie vasculaire (effets indésirables), Procédures de chirurgie vasculaire (normes), Réintervention, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation des risques.
- MESH :
- diagnostic : Complications postopératoires, Maladie artérielle périphérique.
- effets indésirables : Procédures de chirurgie vasculaire.
- mortalité : Maladie artérielle périphérique.
- normes : Procédures de chirurgie vasculaire.
- étiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Artère fémorale, Artère poplitée, Complications postopératoires, Facteurs de risque, Femelle, Humains, Indicateurs qualité santé, Loi du khi-deux, Maladie artérielle périphérique, Mâle, Odds ratio, Réintervention, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation des risques.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Female, Femoral Artery (surgery), Humans, Male, Middle Aged, Odds Ratio, Peripheral Arterial Disease (diagnosis), Peripheral Arterial Disease (mortality), Peripheral Arterial Disease (surgery), Popliteal Artery (surgery), Postoperative Complications (diagnosis), Postoperative Complications (etiology), Postoperative Complications (surgery), Quality Indicators, Health Care, Reoperation, Risk Assessment, Risk Factors, Treatment Outcome, Vascular Surgical Procedures (adverse effects), Vascular Surgical Procedures (standards).
- MESH :
- adverse effects : Vascular Surgical Procedures.
- diagnosis : Peripheral Arterial Disease, Postoperative Complications.
- etiology : Postoperative Complications.
- mortality : Peripheral Arterial Disease.
- standards : Vascular Surgical Procedures.
- surgery : Femoral Artery, Peripheral Arterial Disease, Popliteal Artery, Postoperative Complications.
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Female, Humans, Male, Middle Aged, Odds Ratio, Quality Indicators, Health Care, Reoperation, Risk Assessment, Risk Factors, Treatment Outcome.
Abstract
A systemic review of published reports on the incidence of early (<30 days) adverse events occurring after above- or below-knee femoropopliteal bypass surgery was conducted to provide contemporary outcomes data for comparative reporting. A total of 38 articles were included describing 6,374 femoropopliteal bypasses in 6,007 patients. Fifty-two percent were male and the mean age was 64.6 years (range, 40 to 93 years). The various studied types of complications were reported in 10 to 34 of 38 articles and definitions were often missing. The overall 30-day morbidity rate was 36.8%. The wound infection rate was 7.8% (range, 0.0 to 17.4%) accompanied with dermal necrosis in 0.4%. Graft infection was described in 2.4% (range, 0.0 to 5.3%) of cases. Postoperative bleeding was seen in 7.4% (range, 0.0 to 26%), of which 2.5% required return to surgery. Occlusions were reported in 12.0% (range, 0.0 to 59%). Lymphedema occurred in 2.9% (range, 0.0 to 9.6%) of cases and surgical site seroma formation occurred in 2.0% (range, 1.0% to 3.0%). Overall 30-day mortality rate was 2.3% (range 0.0 to 4.3%). Pooled data comparing vein grafts and prosthetic grafts revealed no significant difference (P = .10; risk ratio = 0.82; 95% confidence interval, 0.66-1.03; I(2) = 0%) in the incidence of complications. This review confirmed the morbidity of femoropopliteal bypass surgery is inconsistently reported and definitions are lacking. Because one-third of patients can be expected to experience an adverse event after femoropopliteal bypass grafting, standards on defining and reporting complications are necessary if comparative outcome standards are developed.
DOI: 10.1053/j.semvascsurg.2015.09.004
PubMed: 26655055
Affiliations:
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(surgery)</term><term>Postoperative Complications (diagnosis)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (surgery)</term><term>Quality Indicators, Health Care</term><term>Reoperation</term><term>Risk Assessment</term><term>Risk Factors</term><term>Treatment Outcome</term><term>Vascular Surgical Procedures (adverse effects)</term><term>Vascular Surgical Procedures (standards)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artère fémorale ()</term><term>Artère poplitée ()</term><term>Complications postopératoires ()</term><term>Complications postopératoires (diagnostic)</term><term>Complications postopératoires (étiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Loi du khi-deux</term><term>Maladie artérielle périphérique ()</term><term>Maladie artérielle périphérique (diagnostic)</term><term>Maladie artérielle périphérique (mortalité)</term><term>Mâle</term><term>Odds ratio</term><term>Procédures de chirurgie vasculaire (effets indésirables)</term><term>Procédures de chirurgie vasculaire (normes)</term><term>Réintervention</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Vascular Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Peripheral Arterial Disease</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Maladie artérielle périphérique</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Procédures de chirurgie vasculaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Peripheral Arterial Disease</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Maladie artérielle périphérique</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Procédures de chirurgie vasculaire</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Vascular Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Artery</term><term>Peripheral Arterial Disease</term><term>Popliteal Artery</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Quality Indicators, Health Care</term><term>Reoperation</term><term>Risk Assessment</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artère fémorale</term><term>Artère poplitée</term><term>Complications postopératoires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Loi du khi-deux</term><term>Maladie artérielle périphérique</term><term>Mâle</term><term>Odds ratio</term><term>Réintervention</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A systemic review of published reports on the incidence of early (<30 days) adverse events occurring after above- or below-knee femoropopliteal bypass surgery was conducted to provide contemporary outcomes data for comparative reporting. A total of 38 articles were included describing 6,374 femoropopliteal bypasses in 6,007 patients. Fifty-two percent were male and the mean age was 64.6 years (range, 40 to 93 years). The various studied types of complications were reported in 10 to 34 of 38 articles and definitions were often missing. The overall 30-day morbidity rate was 36.8%. The wound infection rate was 7.8% (range, 0.0 to 17.4%) accompanied with dermal necrosis in 0.4%. Graft infection was described in 2.4% (range, 0.0 to 5.3%) of cases. Postoperative bleeding was seen in 7.4% (range, 0.0 to 26%), of which 2.5% required return to surgery. Occlusions were reported in 12.0% (range, 0.0 to 59%). Lymphedema occurred in 2.9% (range, 0.0 to 9.6%) of cases and surgical site seroma formation occurred in 2.0% (range, 1.0% to 3.0%). Overall 30-day mortality rate was 2.3% (range 0.0 to 4.3%). Pooled data comparing vein grafts and prosthetic grafts revealed no significant difference (P = .10; risk ratio = 0.82; 95% confidence interval, 0.66-1.03; I(2) = 0%) in the incidence of complications. This review confirmed the morbidity of femoropopliteal bypass surgery is inconsistently reported and definitions are lacking. Because one-third of patients can be expected to experience an adverse event after femoropopliteal bypass grafting, standards on defining and reporting complications are necessary if comparative outcome standards are developed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26655055</PMID><DateCreated><Year>2015</Year><Month>12</Month><Day>15</Day></DateCreated><DateCompleted><Year>2016</Year><Month>09</Month><Day>21</Day></DateCompleted><DateRevised><Year>2015</Year><Month>12</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1558-4518</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Seminars in vascular surgery</Title><ISOAbbreviation>Semin Vasc Surg</ISOAbbreviation></Journal><ArticleTitle>Morbidity of femoropopliteal bypass surgery.</ArticleTitle><Pagination><MedlinePgn>112-21</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1053/j.semvascsurg.2015.09.004</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0895-7967(15)00073-3</ELocationID><Abstract><AbstractText>A systemic review of published reports on the incidence of early (<30 days) adverse events occurring after above- or below-knee femoropopliteal bypass surgery was conducted to provide contemporary outcomes data for comparative reporting. A total of 38 articles were included describing 6,374 femoropopliteal bypasses in 6,007 patients. Fifty-two percent were male and the mean age was 64.6 years (range, 40 to 93 years). The various studied types of complications were reported in 10 to 34 of 38 articles and definitions were often missing. The overall 30-day morbidity rate was 36.8%. The wound infection rate was 7.8% (range, 0.0 to 17.4%) accompanied with dermal necrosis in 0.4%. Graft infection was described in 2.4% (range, 0.0 to 5.3%) of cases. Postoperative bleeding was seen in 7.4% (range, 0.0 to 26%), of which 2.5% required return to surgery. Occlusions were reported in 12.0% (range, 0.0 to 59%). Lymphedema occurred in 2.9% (range, 0.0 to 9.6%) of cases and surgical site seroma formation occurred in 2.0% (range, 1.0% to 3.0%). Overall 30-day mortality rate was 2.3% (range 0.0 to 4.3%). Pooled data comparing vein grafts and prosthetic grafts revealed no significant difference (P = .10; risk ratio = 0.82; 95% confidence interval, 0.66-1.03; I(2) = 0%) in the incidence of complications. This review confirmed the morbidity of femoropopliteal bypass surgery is inconsistently reported and definitions are lacking. Because one-third of patients can be expected to experience an adverse event after femoropopliteal bypass grafting, standards on defining and reporting complications are necessary if comparative outcome standards are developed.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van de Weijer</LastName><ForeName>Maarten A J</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Surgery, Rijnstate Hospital, Wagnerlaan 55, 6816 AD, Arnhem, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kruse</LastName><ForeName>Rombout R</ForeName><Initials>RR</Initials><AffiliationInfo><Affiliation>Department of Surgery, Isala Clinics, Dokter van Heesweg 2, 8025 AB, Zwolle, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schamp</LastName><ForeName>Katja</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Surgery, Rijnstate Hospital, Wagnerlaan 55, 6816 AD, Arnhem, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zeebregts</LastName><ForeName>Clark J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RG, Groningen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reijnen</LastName><ForeName>Michel M P J</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Department of Surgery, Rijnstate Hospital, Wagnerlaan 55, 6816 AD, Arnhem, The Netherlands. Electronic address: mmpj.reijnen@gmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Semin Vasc Surg</MedlineTA><NlmUniqueID>8809602</NlmUniqueID><ISSNLinking>0895-7967</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005263" MajorTopicYN="N">Femoral Artery</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058729" MajorTopicYN="N">Peripheral Arterial Disease</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011150" MajorTopicYN="N">Popliteal Artery</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019984" MajorTopicYN="N">Quality Indicators, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014656" MajorTopicYN="N">Vascular Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26655055</ArticleId><ArticleId IdType="pii">S0895-7967(15)00073-3</ArticleId><ArticleId IdType="doi">10.1053/j.semvascsurg.2015.09.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Van De Weijer, Maarten A J" sort="Van De Weijer, Maarten A J" uniqKey="Van De Weijer M" first="Maarten A J" last="Van De Weijer">Maarten A J. Van De Weijer</name></noRegion><name sortKey="Kruse, Rombout R" sort="Kruse, Rombout R" uniqKey="Kruse R" first="Rombout R" last="Kruse">Rombout R. Kruse</name><name sortKey="Reijnen, Michel M P J" sort="Reijnen, Michel M P J" uniqKey="Reijnen M" first="Michel M P J" last="Reijnen">Michel M P J. Reijnen</name><name sortKey="Schamp, Katja" sort="Schamp, Katja" uniqKey="Schamp K" first="Katja" last="Schamp">Katja Schamp</name><name sortKey="Zeebregts, Clark J" sort="Zeebregts, Clark J" uniqKey="Zeebregts C" first="Clark J" last="Zeebregts">Clark J. Zeebregts</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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