Devin E Banks, Kate Ramm, Isabella Viducich, Quonta Beasley, Juan Barron, Elizabeth Lee Chen, Enricka Norwood-Scott, Kimberly Fuentes, Muyu Zhang, Arleen F Brown, Gail E Wyatt, Alison Hamilton, Tamra B Loeb
Strengths and challenges among Black and Latinx people living with HIV during COVID-19: A mixed-methods investigation of the translation of self-management across syndemic health crises
The American journal of orthopsychiatry
backgroundobjectives popliteal artery aneurysm paa traditionally treated open paa repair opar popliteopopliteal venous graft interposition although excellent outcomes reported elective cases results much worse cases emergency presentation necessity adjunct procedures study aimed identify risk factors might decrease amputationfree survival efficacy endpoint lower graft patency technical endpoint patients methods dualcenter retrospective analysis performed 2000 2021 covering consecutive paa repairs stratified elective vs emergency repair considering patient ie age comorbidities paa ie diameter tibial runoff vessels procedural characteristics ie procedure time material bypass configuration descriptive univariate multivariate statistics used results 316 patients 698 105 years 395 paas mean diameter 319 129 mm operated 67 emergency procedure 6 rupture 938 severe acute limb ischemia majority opar 366 procedures emergency patients worse pre postoperative tibial runoff longer procedure times complex reconstructions harboring variety adjunct procedures well medical surgical complications p 0001 overall inhospital major amputation rate mortality rate 36 08 respectively median followup 49 months fiveyear primary secondary patency rates 80 947 patency venous grafts outperformed alloplastic composite reconstructions p 0001 prolonged average procedure time 514 243786 min p 0001 amputationfree survival significantly better elective procedures p 0001 early inhospital phase increase patient age medical complications significant negative predictors regardless aneurysm size conclusions popliteopopliteal vein interposition remains gold standard treatment despite probably longer procedure time elective emergency paa repairs determine effective treatment strategies older probably frailer patients factors aneurysm size patients overall condition considered