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Comparative Analysis of Patency, Limb Salvage and Survival in Diabetic and Non‐diabetic Patients Undergoing Infrainguinal Bypass Surgery
Author(s) -
Karacagil S.,
Almgren B.,
Bowald S.,
Bergqvist D.
Publication year - 1995
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.1995.tb00537.x
Subject(s) - medicine , diabetes mellitus , surgery , survival rate , mortality rate , endocrinology
In 92 diabetic and 175 non‐diabetic patients undergoing 336 femoropopliteal or femorodistal bypass procedures, 1‐ and 3‐year cumulative life‐table patency, limb salvage, and survival rates were comparatively analysed. The peroperative mortality rate was significantly higher in diabetic patients (5% compared to 1.4%, p < 0.001). The cumulative graft patency rates were 61% at 12 months and 46% at 36 months in diabetic patients compared to 64 and 52% in non‐diabetic patients. Significantly better patency rates were observed in limbs with good runoff compared to limbs with poor runoff in both groups. The limb salvage rates at 3 years were 70% in diabetic patients and 62% in non‐diabetic patients. The survival rate at 3 years was significantly lower in diabetic patients, 62% compared to 86% in non‐diabetic patients. Diabetic patients with poor runoff demonstrated a significantly lower survival rate after 36 months compared to diabetic patients with good runoff (48% and 74%, respectively). The results of this study demonstrate that the early and intermediate patency and limb salvage rates are similar in diabetic and non‐diabetic patients. On the other hand the survival rate in diabetic patients, especially in those with poor distal runoff, is significantly lower than non‐diabetic patients.