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Titolo:
USE OF A NONDISSECTION METHOD IN LOWER-EXTREMITY REVASCULARIZATION - A REPORT ON OUR 12-YEAR EXPERIENCE OF AUTOGENOUS VEIN BYPASS-SURGERY
Autore:
TAKAYAMA Y; TAKAGI A; SATO O; MIYATA T; KIMURA H; SUGAWARA Y; TADA Y;
Indirizzi:
UNIV TOKYO,FAC MED,DEPT SURG 2,BUNKYO KU,7-3-1 HONGO TOKYO 113 JAPAN
Titolo Testata:
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
fascicolo: 11, volume: 26, anno: 1996,
pagine: 910 - 914
SICI:
0941-1291(1996)26:11<910:UOANMI>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Keywords:
CHRONIC ARTERIAL OCCLUSIVE DISEASE; LOWER EXTREMITY REVASCULARIZATION; AUTOGENOUS VEIN BYPASS; NONDISSECTION METHOD; LONG-TERM PATENCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
Y. Takayama et al., "USE OF A NONDISSECTION METHOD IN LOWER-EXTREMITY REVASCULARIZATION - A REPORT ON OUR 12-YEAR EXPERIENCE OF AUTOGENOUS VEIN BYPASS-SURGERY", SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 26(11), 1996, pp. 910-914

Abstract

We report herein on our 12-year experience of performing autogenous vein grafting in the lower extremity using a nondissection method. Thismethod involves limiting preparation for the distal anastomosis to exposure of the anterior surface of the vascular sheath, and substituting an Esmarch's rubber bandage or a pneumatic tourniquet for vascular clamps. A series of 86 consecutive patients who received 101 autogenous, vein grafts employing this method were retrospectively analyzed. Thecauses of arterial occlusion were atherosclerosis in 55 patients, Buerger's disease in 23, and other causes in 9. There was one operative death, and 12 late deaths were recorded within a follow-up period extending to 12 years. Of four early occlusions and two stenoses, three were successfully revised within 30 days of surgery. A total of 11 revision operations were required for 10 grafts during the follow-up period,and late graft closure occurred in 9 bypasses. The primary, primary revised, and secondary patency rates at 5 years for the entire series (n = 101) were 65%, 85%, and 86%, respectively, with 42 bypasses to thetibial or peroneal artery having 84% primary revised and 86% secondary patency rates. These findings led us to conclude that minimization of the surgical injury at the distal anastomosis contributed to the long-term patency of the distal bypass.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 09:37:01