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外周动脉闭塞性疾病下肢血管重建的结果:男性和女性之间有差异吗?

Outcome of lower extremity revascularization for peripheral artery occlusive disease: is there a difference between men and women?

作者信息

Seymour Keri A, Sadowitz Benjamin, Amankwah Kwame S, Gahtan Vivian

机构信息

Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University, Syracuse, NY 13210, USA.

出版信息

Vascular. 2011 Apr;19(2):59-67. doi: 10.1258/vasc.2010.ra0042.

Abstract

The incidence of peripheral arterial occlusive disease (PAD) increases with age. Women represent a growing percentage of the elderly population who present with PAD. While speculation exists that gender affects outcome after revascularization procedures, the literature is confusing and often conflicting. This review compares outcomes by gender after open surgical and endovascular lower extremity revascularization (LER) procedures including: demographic differences, patency rates, limb salvage rates, long-term survival, perioperative complications and 30-day mortality. This review summarizes the existing data and discusses current influences on outcome after LER.

摘要

外周动脉闭塞性疾病(PAD)的发病率随年龄增长而升高。女性在患有PAD的老年人群中所占比例日益增加。尽管有人推测性别会影响血运重建术后的预后,但相关文献令人困惑且常常相互矛盾。本综述比较了开放手术和血管腔内下肢血运重建(LER)术后按性别划分的预后情况,包括:人口统计学差异、通畅率、肢体挽救率、长期生存率、围手术期并发症及30天死亡率。本综述总结了现有数据,并讨论了当前对LER术后预后的影响因素。

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