Mid-term results of combined medical and popliteal artery endarterectomy treatment in Buerger's disease

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dc.authorscopusid57189350968
dc.authorscopusid57735837700
dc.authorscopusid58700244000
dc.authorscopusid55972881600
dc.authorscopusid7004510047
dc.contributor.authorKahraman, U.
dc.contributor.authorKaraca, S.
dc.contributor.authorIslamoglu, K.
dc.contributor.authorEngin, A.Y.
dc.contributor.authorIslamoglu, F.
dc.date.accessioned2024-08-25T18:51:51Z
dc.date.available2024-08-25T18:51:51Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: Our aim in this article is to present the mid-term results of the best preoperative and postoperative medical treatment and analgesia treatment in patients with advanced Buerger's disease who underwent saphenous patchplasty and saphenous distal bypass after endarterectomy to the popliteal artery or trifurcation area. Material and Methods: Between 2015 and 2023, we operated on 83 patients, diagnosed with Buerger's disease, who were in the chronic stage of the disease, and whose advanced imaging was performed. Preoperative, postoperative, and 1st year control evaluations were determined according to Rutherford, Fontaine classification, and Ankle-Brachial Indexes. Medical treatments of the patients were organized by the vascular surgery team and algology department. After determining the surgical approach strategy according to the imaging of the patients, saphenous patchplasty and anatomical bypass were performed. Results: The mean preoperative ankle-brachial index was 0.305, the mean postoperative ankle-brachial index was 0.644, and the mean 1-year ankle-brachial index was 0.629 in 83 patients included in the study. Statistically significant improvements were observed in the Rutherford and Fontaine classifications. (p-value < 0,001) Amputation was performed in 9.6% of patients within 1 year. Conclusion: Good clinical results and limb salvage can be achieved with a combined medical and surgical treatment approach in advancedstage patients who do not respond despite optimal medical treatment. Provided that patients quit smoking, good determination of the target surgical site, Saphenous patchplasty, and Saphenous distal bypass applied after endarterectomy in suitable patients are supported with good medical and analgesia treatment, the results will improve further. © 2023, Turkish National Vascular and Endovascular Surgery Society. All rights reserved.en_US
dc.identifier.doi10.9739/tjvs.2023.09.027
dc.identifier.endpage180en_US
dc.identifier.issn2667-5080
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85177085003en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage174en_US
dc.identifier.urihttps://doi.org/10.9739/tjvs.2023.09.027
dc.identifier.urihttps://hdl.handle.net/11454/102716
dc.identifier.volume32en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish National Vascular and Endovascular Surgery Societyen_US
dc.relation.ispartofTurkish Journal of Vascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240825_Gen_US
dc.subjectBuerger's Diseaseen_US
dc.subjectpopliteal bypassen_US
dc.subjectsaphenous patchplastyen_US
dc.subjectthromboangiitis obliteransen_US
dc.titleMid-term results of combined medical and popliteal artery endarterectomy treatment in Buerger's diseaseen_US
dc.typeArticleen_US

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