{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T16:24:19Z","timestamp":1707841459707},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2021,1,17]],"date-time":"2021-01-17T00:00:00Z","timestamp":1610841600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,1,17]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> A diff\u00faz aortobiiliacalis \u00e9rszakasz occlusiv\n                    betegs\u00e9g\u00e9nek kezel\u00e9s\u00e9re alkalmazott aortobifemoralis bypass szerepe cs\u00f6kken az\n                    endovascularis m\u0171t\u00e9tek t\u00e9rnyer\u00e9se miatt. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A\n                    vizsg\u00e1lat c\u00e9lja volt a modern invaz\u00edv kezel\u00e9s korszak\u00e1ban a perioperat\u00edv \u00e9s a\n                    hossz\u00fa t\u00e1v\u00fa eredm\u00e9nyek elemz\u00e9se aortobiiliacalis bypass ut\u00e1n, melyek\n                    \u00f6sszehasonl\u00edthat\u00f3k az endovascularis megold\u00e1sok eredm\u00e9nyeivel.\n                        <jats:italic>M\u00f3dszerek:<\/jats:italic> A retrospekt\u00edv, egycentrum\u00fa vizsg\u00e1lat sor\u00e1n a\n                    Semmelweis Egyetem V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1nak \u00c9rseb\u00e9szeti\n                    \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k\u00e9n 2006. 01. 01. \u00e9s 2017. 12. 31. k\u00f6z\u00f6tt occlusiv\n                    aortoiliacalis atherosclerosis miatt primer aortobifemoralis bypass m\u0171t\u00e9ten\n                    \u00e1tesett 419 beteg (\u00e1tlag\u00e9letkor: 62,2 \u00e9v, SD: \u00b1 8,22; 224 f\u00e9rfi, 53%) adatait\n                    elemezt\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A posztoperat\u00edv 30 napon bel\u00fcli\n                    mortalit\u00e1s 5,01%, a k\u00e9s\u0151i mortalit\u00e1s 10,98% \u00e9s 29,59% volt 12, illetve 60 h\u00f3nap\n                    ut\u00e1n. A betegek 12,57%-\u00e1n\u00e1l t\u00f6rt\u00e9nt korai reoper\u00e1ci\u00f3, k\u00e9s\u0151i reoper\u00e1ci\u00f3 32 (8%)\n                    betegn\u00e9l v\u00e1lt sz\u00fcks\u00e9gess\u00e9. A graft els\u0151dleges nyitva marad\u00e1sa 88,65% \u00e9s 81,15%\n                    volt 12, illetve 60 h\u00f3nap ut\u00e1n. 21 betegn\u00e9l t\u00f6rt\u00e9nt amput\u00e1ci\u00f3 (6,29%);\n                    57,14%-ban femoralis, 35,71%-ban cruralis szinten, 7,14%-ban a boka szintje\n                    alatt. Az amput\u00e1ci\u00f3kra 35,71%-ban a bypasst k\u00f6vet\u0151 30 napon bel\u00fcl, tov\u00e1bbi\n                    35,71%-ban 2 \u00e9ven bel\u00fcl ker\u00fclt sor. Az esetek 35,63%-\u00e1ban l\u00e9pett fel egy\u00e9b\n                    sz\u00f6v\u0151dm\u00e9ny; a leggyakoribbak: m\u0171t\u00e9tet ig\u00e9nyl\u0151 posztoperat\u00edv hernia (6,89%),\n                    cardiovascularis sz\u00f6v\u0151dm\u00e9ny (4,19%), l\u00e1gy\u00e9ki nyirokcsorg\u00e1s vagy sebgy\u00f3gyul\u00e1si\n                    zavar (4,79%). <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Eredm\u00e9nyeink alapj\u00e1n e\n                    betegcsoportban az aortobifemoralis bypass elfogadhat\u00f3, de nem jelent\u00e9ktelen\n                    perioperat\u00edv hal\u00e1loz\u00e1ssal \u00e9s magas morbidit\u00e1ssal j\u00e1r. A graft hossz\u00fa t\u00e1v\u00fa nyitva\n                    marad\u00e1sa j\u00f3, de az \u00fajabb \u00e9rm\u0171t\u00e9t mind r\u00f6vid, mind hossz\u00fa t\u00e1von relat\u00edve gyakori.\n                    A kev\u00e9sb\u00e9 invaz\u00edv technik\u00e1k eredm\u00e9nyeinek \u00f6sszehasonl\u00edt\u00e1sa indokolt a hossz\u00fa\n                    szakasz\u00fa (TASC C, D) elv\u00e1ltoz\u00e1sok eset\u00e9n. Orv Hetil. 2021; 162(3): 99\u2013105.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> The role of aorto-bifemoral bypass in the\n                    treatment of diffuse aorto-biiliac occlusive disease decreases in the era of\n                    endovascular surgery. <jats:italic>Objective:<\/jats:italic> The aim of the study was to\n                    analyse the early and long-term postoperative results of aorto-bifemoral bypass\n                    in a recent time period. These results may be used as a baseline to compare the\n                    results of endovascular procedures. <jats:italic>Methods:<\/jats:italic> In a\n                    retrospective, single-center study, the data of 419 patients (mean age: 62.2\n                    years, SD: \u00b1 8.22; 224 men, 53%) who underwent primary aorto-bifemoral bypass\n                    due to occlusive aorto-iliac atherosclerosis from 01. 01. 2006 to 31. 12. 2017\n                    at the Department of Vascular and Endovascular Surgery of Semmelweis University\n                    Heart and Vascular Center were analysed. <jats:italic>Results:<\/jats:italic> Postoperative\n                    mortality within 30 days was 5.01%, late mortality was 10.98% and 29.59% after\n                    12 and 60 months, respectively. 12.57% of the patients needed early reoperation\n                    and late reoperation was required in 32 cases (8%). The primary graft patency\n                    was 88.65% and 81.15% after 12 and 60 months, respectively. 21 patients\n                    underwent amputation (6.29%); 57.14% at the femoral level, 35.71% at the crural\n                    level and 7.14% below the ankle level. Amputations were performed in 35.71% of\n                    the cases within 30 days after the bypass and an additional 35.71% within 2\n                    years. Other complications occurred in 35.63% of the cases; the most common\n                    causes were postoperative hernia requiring surgery (6.89%), cardiovascular\n                    complication (4.19%) and inguinal wound healing disorders (4.79%).\n                        <jats:italic>Conclusion:<\/jats:italic> Based on our results, aorto-bifemoral bypass\n                    surgery is associated with acceptable but not insignificant perioperative\n                    mortality and high morbidity in this group of patients. The graft patency is\n                    favourable in the long term, however, additional vascular reintervention is\n                    common in short and long term as well. Short- and long-term results of\n                    percutaneous endovascular techniques in diffuse aorto-biiliac disease (TASC C\n                    and D lesions) are suggested to be compared to these recent results of open\n                    surgery. Orv Hetil. 2021; 162(3): 99\u2013105.<\/jats:p>","DOI":"10.1556\/650.2021.31970","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T12:09:37Z","timestamp":1617106177000},"page":"99-105","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":3,"title":["Az aortobiiliacalis occlusiv \u00e9rbetegs\u00e9g miatt v\u00e9gzett aortobifemoralis bypass m\u0171t\u00e9tek hossz\u00fa t\u00e1v\u00fa eredm\u00e9nyeinek elemz\u00e9se"],"prefix":"10.1556","volume":"162","author":[{"given":"Enik\u0151","family":"Pomozi","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Lengyel","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Osztrogon\u00e1cz","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dat Tin","family":"Nguyen","sequence":"additional","affiliation":[{"name":"3 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szeberin","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Sidawy AN, Perler BA. 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