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Analysis of Risk Factors for the Development of Femoropopliteal Bypass Graft Occlusions Cover

Analysis of Risk Factors for the Development of Femoropopliteal Bypass Graft Occlusions

Open Access
|Nov 2025

Figures & Tables

Baseline characteristics of cases and controls

VariableCases (n=35)Controls (n=70)Test value and significance of null hypothesisCrude odds ratios with confidence intervals (1.96*SE)

Sex(M/F)27/8 (77%/23%)53/17 (76%/24%)χ2 = 0.261.08 (0.41, 2.83)
p = 0.871

Age (years, mean ± SD)65.00 ± 7.9263.79 ± 10.02T = 0.6261.01 (0.97, 1.06)
p = 0.533

Clinical stage of disease according to RutherfordI0      0%7      10%χ2 = 25.8482.82 (1.77, 4.48)
II0      0%16    22%p < 0.001*
III6     17%21    30%
IV11    31%13    19%
V15    43%13    19%
VI3      9%0      0%

Duration of smoking (years, mean ± SD)28.03 ± 16.0826.51 ± 17.03U=1213,0001.01 (0.98, 1.03)
p = 0.934

Alcohol consumption8/27 (23%/77%)18/52 (26%/74%)χ2 = 0.1020.86 (0.33, 2.22)
p = 0.749

Form of femoropopliteal bypass (below-knee vs above-knee)25/10 (71%,29%)22/48 (31%, 69%)χ2 = 15.0995.45 (2.24, 13.28)
p < 0.001*

Anticoagulant(AC) and Antiaggregant (AA) therapyAC+AA    23    66%AC+AA    34    49%χ2 =4.0010.58 (0.31, 1.11)
AC           11     31%AC           29     41%p = 0.261
AA             0       0%AA             4       6%
withoutwithout
AA/AC      3       3%AA I AC     3       4%

Type of heparinSH           28      80%S              54      77%χ2 = 0.2740.85 (0.42, 1.71)
LMWH      5      14%LMWH    10      14%p = 0.872
S+LMWH  2      6%S+LMWH  6      9%

Preoperative levels of haemoglobin128.91 ± 20.85133.67 ± 19.98T = −1.1340.99 (0.97, 1.01)
p = 0.260

Preoperative levels of aPTT28.12 ± 5.1127.92 ± 6.27U = 1157.5001.01 (0.94, 1.08)
p = 0.646

Preoperative levels of INR1.14 ± 0.301.08 ± 0.38U = 1067.0001.57 (0.51, 4.89)
p = 0.283

Preoperative levels of hematocrit38.57 ± 6.3640.18 ± 5.67T = −1.3230.95 (0.891, 1.023)
p = 0.189

Aortoiliac stenosis6/29 (17%/83%)18/52 (26%/74%)χ2 = 0.9720.60 (0.21, 1.67)
p = 0.324

Previous vascular intervention9/26 (26%/74%)13/57 (19%/81%)χ2 = 0.7191.52 (0.58, 4.00)
p = 0.397

Angiotensin converting enzyme (ACE) inhibitors24/11 (69%/31%)50/19 (71%/29%)χ2 = 0.6770.80 (0.33, 1.94)
p = 0.713

Beta blockers16/19 (46%/54%)28/42 (40%/60%)χ2 = 0.3131.26 (0.56, 2.86)
p = 0.576

Diuretics11/24 (31%/69%)24/46 (34%/66%)χ2 = 0.0860.88 (0.37, 2.09)
p = 0.770

Calcium channel blockers6/29 (17%/83%)17/53 (24%/76%)χ2 = 0.6960.64 (0.23, 1.82)
p = 0.404

Metformin2/33 (6%/94%)14/56 (20%/80%)χ2 = 3.6870.24 (0.05, 1.13)
p = 0.055

Insulin5/30 (14%/86%)9/61 (13%/87%)χ2 = 0.0411.13 (0.35, 3.67)
p = 0.839

Type of graft (artificially vs venous)32/3 (91%/9%)61/9 (87%/13%)χ2 = 0.4231.57 (0.40, 6.22)
p = 0.515

Finnvastic score5/30 (14%/86%)5/65 (7%/93%)χ2 = 1.3822.17 (0.58, 8.05)
p = 0.295

Cardiovascular diseases20/1526/44χ2 = 3.7912.26 (0.98, 5.16)
57%/43%37%/63%p = 0.052

Chronic renal insufficiency5/304/66χ2 = 2.1882.75 (0.69, 10.97)
14%/86%6%/94%p = 0.156

Peptic ulcer disease5/305/65χ2 = 1.3822.17 (0.58, 8.05)
14%/86%7%/93%p = 0.295

Number of angiographically passable crural recipient arteries16/9/815/28/21χ2 = 6.3591.75 (1.01, 3.06)
48,5%/27,3%/24,2%32,8%/43,8%/23,4%p = 0.042*
1/2/3

Diabetes11/2423/47χ2 = 0.0220.94(0.39, 2.24)
31%/69%33%/67%p = 0.883

Malignancy0/355/65χ2 = 2.6250.00
0%/100%7%/93%p = 0.167

Perioperative blood transfusion6/299/61χ2 = 0.3501.40 (0.46, 4.31)
17%/83%13%/87%p = 0.554

Alpha blockers2/332/68χ2 = 0.5202.06 (0.28, 15.28)
6%/94%3%/97%p = 0.471

Crude and adjusted odds ratios of the risk factors for femoropopliteal bypass graft occlusions*

Risk factorsCrude OR (95% CI)Adjusted OR (95% CI)
Form of femoropopliteal bypass (below-knee vs above-knee)5.45(2.24, 13.28)115.34(4.02, 3306.55)
Type of graft (artificially vs venous)1.57(0.40, 6.22)81.62(1.03, 6486.32)
Cardiovascular diseases2.26(0.98, 5.16)55.64(2.63, 1176.94)
Previous vascular intervention1.52(0.58, 4.00)51.61(1.10, 2425.14)
Clinical stage of disease according to Rutherford2.82(1.77, 4.48)22.21(2.62, 188.39)
Preoperative levels of haemoglobin0.99(0.97, 1.01)1.33(1.01, 1.74)
Preoperative levels of hematocrit0.95(0.89, 1.02)0.34 (0.13, 0.98)

Synergistic effects of risk factors for the femoropopliteal bypass graft occlusions

Risk factorsCrude OR (95% CI)Adjusted OR (95% CI)

Form of femoropopliteal bypass (below-knee vs above-knee)5.45(2.24, 13.28)115.34(4.02, 3306.55)

Type of graft (artificially vs venous)1.57(0.40, 6.22)81.62(1.03, 6486.32)

Cardiovascular diseases2.26(0.98, 5.16)55.64(2.63, 1176.94)

Previous vascular intervention1.52(0.58, 4.00)51.61(1.10, 2425.14)

Clinical stage of disease according to Rutherford2.82(1.77, 4.48)22.21(2.62,188.39)

Preoperative levels of haemoglobin0.99(0.97, 1.01)1.33(1.01, 1.74)

Preoperative levels of hematocrit0.95 (0.89, 1.02)0.34 (0.13, 0.98)

Form of femoropopliteal bypass(below-knee vs above-knee) by Type of graft (artificially vs venous)5.54(2.30,13.35)140.95(5.47, 3632.14)*
p=0.003

Type of graft (artificially vs venous) by Previous vascular intervention1.50(0.52,4.35)75.96(1.14, 5060.94)*
p=0.043

Cardiovascular diseases by Form of femoropopliteal bypass(below-knee vs above-knee)4.50(1.75,11.60)68.03(3.14, 1472.69)*
p=0.007

Type of graft (artificially vs venous) by Cardiovascular diseases2.03(0.89,4.64)25.71(1.69, 391.30)*
p=0.019

Previous vascular intervention by Form of femoropopliteal bypass(below-knee vs above-knee)2.70(0.76,9.53)4.22(0.20, 90.46)
p=0.357

Type of graft (artificially vs venous) by Clinical stage of disease according to Rutherford1.86(1.39,2.61)2.83 (1.28, 6.24)*
p=0.010

Clinical stage of disease according to Rutherford by Form of femoropopliteal bypass(below-knee vs above-knee)1.65(1.32,2.05)2.58(1.47, 4.51)*
p=0.001

Preoperative levels of haemoglobin by Form of femoropopliteal bypass(below-knee vs above-knee)1.01(1.01,1.02)1.02(1.01,1.04)
p=0.008

Preoperative levels of hematocrit by Form of femoropopliteal bypass(below-knee vs above-knee)1.04(1.02,1.06)1.06(1.02,1.12)
p=0.009

Preoperative levels of haemoglobin by Preoperative levels of hematocrit1.00(1.00–1.00)1.00(0.99,1.00)
p=0.381
DOI: https://doi.org/10.2478/sjecr-2021-0085 | Journal eISSN: 2956-2090 | Journal ISSN: 2956-0454
Language: English
Submitted on: May 27, 2021
Accepted on: May 27, 2021
Published on: Nov 5, 2025
Published by: University of Kragujevac, Faculty of Medical Sciences
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Nikola Mirkovic, Srdjan Stefanovic, Snezana Sretenovic, Slobodan Jankovic, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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