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Titolo:
EARLY RESULTS WITH CRYOPRESERVED SAPHENOUS-VEIN ALLOGRAFTS FOR INFRAINGUINAL BYPASS
Autore:
SHAH RM; FAGGIOLI GL; MANGIONE S; HARRIS LM; KANE J; TAHERI SA; RICOTTA JJ; ATNIP R; PANETTA TF; JARRETT F; ASCER E; DESHMUKH N; GOLDEN; CORSON JD; VEITH FJ; DARDIK H;
Indirizzi:
3 GATES CIRCLE BUFFALO NY 14209 SUNY BUFFALO,DEPT SURG,DIV VASC SURG BUFFALO NY 00000
Titolo Testata:
Journal of vascular surgery
fascicolo: 6, volume: 18, anno: 1993,
pagine: 965 - 971
SICI:
0741-5214(1993)18:6<965:ERWCSA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
VENOUS CRYOPRESERVATION; CLINICAL-EXPERIENCE; ARTERIAL SUBSTITUTE; REVASCULARIZATION; RECONSTRUCTION; REJECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
R.M. Shah et al., "EARLY RESULTS WITH CRYOPRESERVED SAPHENOUS-VEIN ALLOGRAFTS FOR INFRAINGUINAL BYPASS", Journal of vascular surgery, 18(6), 1993, pp. 965-971

Abstract

Purpose: Cryopreserved saphenous vein allografts (CSVA) are availablefor use in arterial reconstructions; however, patency rates in the infrainguinal position are not well described. Methods: We reviewed our experience with 38 patients who underwent 43 infrainguinal bypasses with CSVA as the conduit. The group includes 21 women and 17 men with a mean age of 69 +/- 11 years. Mean follow-up is 8.2 +/- 5.5 months. Logistic regression was used to analyze five variables in an attempt to identify predictors of success or failure: distal anastomosis to the popliteal artery versus a crural artery, one-vessel versus two- or three-vessel runoff, postoperative anticoagulation versus none, primary reconstructions versus reoperations, and one segment versus two segments of CSVA required. Results:The cumulative patency rate at 12 months by life-table analysis is 66%. Logistic regression revealed that primary reconstructions were more likely to succeed than reoperations (p = 0.03) and operations completed with one segment of CSVA were more likely to succeed than those requiring more than one segment of vein (p = 0.03). Conclusions: We conclude that (1) the short-term patency of infrainguinal bypasses with CSVA suggests that they may be acceptable alternatives to prosthetic grafts in the below-knee position, and (2) primary reconstructions performed with one segment of CSVA are more likely to succeed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/06/20 alle ore 21:03:10