Retrospective Evaluation of the First 150 Patients with Vascular Surgery in A New Cardiovascular Surgery Clinic

Abstract

Objective: This study aimed to retrospectively evaluate the data of patients undergoing peripheral arterial vascular surgeries and to present our approach to peripheral arterial disease (PAD) in our clinic, which was put into service as of September 2014. Methods: Data on 151 patients undergoing peripheral arterial vascular surgery between September 2014-December 2016 were retrospectively evaluated. Of the patients, 45 (29.80%) underwent emergency surgery and 106 (70.19%) underwent elective surgery. Of emergency surgeries, 31 (68.88%) patients had acute embolism. Among elective surgeries, femoropopliteal bypass was the most common procedure in 52 patients. While above-knee femoropopliteal bypass was performed in 40 (76.92%) patients, vena saphena magna (VSM) could be used as a graft in 31 patients. VSM could be used in 9 of 12 patients undergoing below-knee femoropopliteal bypass. Results: Of 151 patients, 14 (9.27%) were admitted for revision during the postoperative period. Among 52 patients undergoing femoropopliteal bypass, 7 were re-operated (4 underwent above-knee and 3 underwent below-knee femoropopliteal bypass). While the polytetrafluoroethylene graft was used in all of these patients, none of the patients with VSM graft required revision. The patient with Shamblin type-III tumor, who was operated due to glomus caroticum, developed graft occlusion and was re-operated; however, hemiplegia was developed postoperatively. Mortality occurred in 4 patients (2 with abdominal aortic aneurysm rupture and 2 with penetrating injury). All of them had hypovolemic shock prior to the surgery. Conclusion: There is a need for an experienced team for PAD and the treatment method to be applied should be patient-based.