Dünschede F, Youssef M, Stabrauskaite J, Ahmed S, Espinola-Klein C, Dorweiler B, Vahl C-F
Klinik für Herz-, Thorax- und Gefäßchirugie, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.
II. Medizinische Klinik, Universitätsmedizin Mainz, Mainz, Deutschland.
Chirurg. 2017 Mar;88(3):233-238. doi: 10.1007/s00104-016-0276-0.
For the surgical treatment of critical limb ischemia one of the decisive influencing factors for short-term and long-term limb salvage is the use of autologous veins as bypass material. There is currently a lack of studies on the long-term assessment of alternative bypass materials, which can be used for critical limb ischemia due to a lack of autologous vein material. A prospective database was established that included all patients with critical limb ischemia who received a bypass with the Omniflow-II™ prosthesis. From 2006 until 2014 bypass surgery with the Omniflow-II™ prosthesis was carried out in 123 patients. The mortality was 5 % while the morbidity was 14 % and the 5‑year survival rate was 37 %. In patients with a popliteal bypass (n = 62), the primary and secondary patency rates were 34 % and 69 %, respectively after 5 years. The corresponding results for the crural position (n = 61) over the same time period were 32 % and 34 %, respectively. After 5 years, the group receiving popliteal bypass surgery showed a limb salvage rate of 98 % whereas the crural group had a rate of 70 %. In this study we could demonstrate very promising results using the Omniflow-II™ prosthesis for the surgical treatment of critical limb ischemia.
对于严重肢体缺血的外科治疗,自体静脉作为旁路材料的使用是短期和长期保肢的决定性影响因素之一。目前缺乏对替代旁路材料的长期评估研究,由于自体静脉材料不足,这些材料可用于严重肢体缺血。建立了一个前瞻性数据库,纳入了所有接受Omniflow-II™假体旁路手术的严重肢体缺血患者。2006年至2014年,123例患者接受了Omniflow-II™假体旁路手术。死亡率为5%,发病率为14%,5年生存率为37%。在腘动脉旁路手术患者(n = 62)中,5年后的一期和二期通畅率分别为34%和69%。同期小腿部位(n = 61)的相应结果分别为32%和34%。5年后,接受腘动脉旁路手术的患者保肢率为98%,而小腿组为70%。在本研究中,我们可以证明使用Omniflow-II™假体进行严重肢体缺血的外科治疗取得了非常有前景的结果。