Author(s): Albck A, Biancari F, Saarinen O, Lepntalo M
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Abstract OBJECTIVES: To determine the value of the Ad Hoc scoring system (SVS/ISCVS) in predicting the immediate outcome of femoropopliteal saphenous vein grafts. DESIGN: Retrospective study. MATERIALS: One hundred and twenty patients underwent 132 primary femoropopliteal vein bypass procedures, 32 for claudication and 100 for critical leg ischemia (CLI). METHODS: The outflow arteries were graded according to the Ad Hoc scoring system (SVS/ISCVS). Postoperative immediate graft patency and leg salvage to the period of the first 30 days after surgery. RESULTS: Ninety-one per cent of claudicants and 83\% of CLI patients had immediate patency. The overall 30-day patency rate was 85\%. Leg salvage rate was 91\% for the patients with CLI. Patients with score in the highest quartile were found to have a 8.7 times higher risk for immediate graft occlusion (p = 0.005). Multivariate analysis showed that the Ad Hoc score was predictive of immediate patency (p = 0.0006) and leg salvage (p = 0.0004). In patients with a score < or = 7.5 and in those with a score > 7.5, the patency rates were 95\% and 66\% (p = 0.001), and the leg salvage rates were 97\% and 80\%, (p = 0.004), respectively. CONCLUSIONS: The Ad Hoc scoring system is useful in predicting the immediate outcome of femoropopliteal saphenous vein grafts.
This article was published in Eur J Vasc Endovasc Surg
and referenced in Journal of Antivirals & Antiretrovirals