J Korean Soc Vasc Surg.  2011 Feb;27(1):23-26.

Transition of Treatment Modalities for Peripheral Arterial Occlusive Disease for the Recent 5 Years According to the TASC II Classifications in a Single Institution

Affiliations
  • 1Department of Surgery, Inha University School of Medicine, Incheon, Korea. inhags@gmail.com
  • 2Department of Family Medicine, Inha University School of Medicine, Incheon, Korea.
  • 3Department of Radiology, Inha University School of Medicine, Incheon, Korea.

Abstract

PURPOSE
Endovascular treatment for peripheral arterial obstructive disease (PAOD) is replacing traditional arterial bypass in the western world. Yet there are few reports to evaluate the pattern of clinical practice pattern for PAOD in Korea. This study was conducted to evaluate the treatment pattern for PAOD between endovascular treatment and arterial bypass, and to compare their clinical characteristics.
METHODS
We conducted a retrospective study on the prospectively maintained database of patients who underwent endovascular treatment and arterial bypass for PAOD from March 2005 to December 2009 in Inha University Hospital. The aortoiliac lesions and femoropopliteal lesions were categorized by the Trans Atlantic Inter-Society Consensus (TASC) II classifications. Their treatments and clinical characteristics were compared between the former period (2005~2007 y) and the latter period (2008~2009 y).
RESULTS
Three hundred nine cases (178 patients) were treated for PAOD by either arterial bypass or endovascular treatment. The patients' mean age was 69.1+/-11.3 year old. There was no difference in clinical characteristics between the two periods except for age. Endovascular treatments of both aortoiliac and femoropopliteal arterial lesions were increased in the latter period (P=0.023, P<0.001). Also, the endovascular treatments were increased in the TASC C and D aortoiliac and femoropopliteal lesions in the latter period (P=0.020, P<0.001).
CONCLUSION
Endovascular treatment for PAOD is increasing in clinical practice and this shows feasibility in critically ill patient with TASC C and D lesions, although arterial bypass is still important.

Keyword

Peripheral arterial occlusive disease; Arterial bypass; Endovascular treatment; Atherosclerosis; Angioplasty

MeSH Terms

Angioplasty
Arterial Occlusive Diseases
Atherosclerosis
Consensus
Critical Illness
Humans
Korea
Physician's Practice Patterns
Prospective Studies
Retrospective Studies
Western World
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