Predictors of early graft failure after infrainguinal bypass surgery: a risk-adjusted analysis from the NSQIP

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R T LancasterG M LaMuraglia

Abstract

Infrainguinal bypass surgery (BPG) is accompanied by significant 30-day mortality and morbidity, including early graft failure. The goal of this study is to identify patient- and procedure-specific factors which predict the rate of early graft failure in contemporary practice. Data was obtained from the private sector National Surgical Quality Improvement Program, a prospective, validated database collected between 2005 and 2008 from 211 hospitals, using primary and modifier Current Procedural Terminology codes for BPG. The primary endpoint was graft failure at 30 days. Procedural parameters, patient demographics and clinical variables were analyzed by univariate and multivariate methods. There were 9217 BPG procedures (limb salvage, 49%; infrapopliteal distal anastomosis, 43%; prosthetic 32%) with patient variables: age 67 ± 12 years, male 64%, diabetes 44%, dialysis 7.4%. Mortality was 2.4%, major morbidity was 17.3%, and graft failure rate was 6.3% at 30 days. Multivariate predictors of graft failure demonstrated correlation (p-value, OR) with female gender (p = 0.0054, 1.29), limb salvage indication (p < 0.0001, 1.60), infrapopliteal anastomosis (p < 0.0001, 2.15), composite graft (p = 0.0436, 1.82), current smoking (p = 0....Continue Reading

References

Jan 1, 1995·Journal of Vascular Surgery·G W GibbonsF W LoGerfo
Feb 1, 1997·Journal of Vascular Surgery·A M Abou-ZamzamJ M Porter
Oct 6, 1997·Journal of Vascular Surgery·K D RobinsonJ R Wheeler
Mar 19, 2004·The New England Journal of Medicine·Andrew I Schafer
Apr 28, 2004·Journal of Vascular Surgery·Zachary K BaldwinLewis B Schwartz
Sep 30, 2004·Journal of the American College of Surgeons·Justin B DimickDarrell A Campbell
Jan 26, 2005·British Journal of Haematology·M A Elliott, A Tefferi
May 25, 2005·Circulation·Ik-Kyung Jang, Marcie J Hursting
Jul 8, 2005·The New England Journal of Medicine·Claire N HarrisonUNKNOWN United Kingdom Medical Research Council Primary Thrombocythemia 1 Study
Sep 27, 2006·Journal of Vascular Surgery·Niten SinghWilliam G Henderson
Nov 21, 2007·Hematology·Alessandro M Vannucchi, Tiziano Barbui
Feb 26, 2008·Journal of Vascular Surgery·Niten SinghWilliam Henderson
Jul 28, 2009·Journal of Vascular Surgery·Glenn M LaMuragliaRichard P Cambria
Sep 15, 2009·Annals of Vascular Surgery·Philip P GoodneyUNKNOWN Vascular Study Group of Northern New England
Sep 30, 2009·Journal of Vascular Surgery·Mark F ConradGlenn M LaMuraglia
Feb 10, 2010·Journal of Vascular Surgery·Robert S CrawfordGlenn M LaMuraglia
Jul 2, 2010·Journal of Vascular Surgery·Christopher J AbularrageRichard P Cambria

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Citations

Jan 2, 2013·International Journal of Women's Health·Joy Peacock Walker, Jade S Hiramoto
May 20, 2014·The Journal of Surgical Research·Shalini SelvarajahChristopher J Abularrage
Aug 12, 2014·Annals of Vascular Surgery·Gregory G WestinDavid L Dawson
Feb 12, 2013·Journal of Vascular Surgery·James T McPheeMichael Belkin
Jul 13, 2012·Journal of Thrombosis and Haemostasis : JTH·K M HoO Duff
Mar 4, 2015·Annals of Vascular Surgery·Carly R RichardsDwight C Kellicut
Aug 11, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R HoubballahG LaMuraglia
Mar 1, 2014·The Journal of Surgical Research·Andrew J SinnamonRachel R Kelz
Jul 31, 2012·Journal of Vascular Surgery·Mauri J A LepäntaloGlenn LaMuraglia
May 3, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P Marqués de MarinoF J Serrano Hernando
Feb 8, 2014·Journal of Vascular Surgery·Shalini SelvarajahChristopher J Abularrage
Feb 7, 2015·Journal of Vascular Surgery·Karen WooUNKNOWN Society for Vascular Surgery Vascular Quality Initiative
Jul 22, 2018·The British Journal of Radiology·Desislava D Kostova-LefterovaBoyka B Stoyanova
Mar 15, 2014·Journal of the American Heart Association·Jade S HiramotoMichael Conte
Feb 27, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·Christian UhlMarkus Steinbauer
Nov 16, 2019·Journal of Vascular Surgery·Michele PiazzaMichele Antonello

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