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Titolo:
RANDOMIZED PROSPECTIVE-STUDY OF ANGIOSCOPICALLY ASSISTED IN-SITU SAPHENOUS-VEIN GRAFTING
Autore:
CLAIR DG; GOLDEN MA; MANNICK JA; WHITTEMORE AD; DONALDSON MC;
Indirizzi:
BRIGHAM & WOMENS HOSP,DEPT SURG,DIV VASC SURG,75 FRANCIS ST BOSTON MA02115 BRIGHAM & WOMENS HOSP,DEPT SURG,DIV VASC SURG BOSTON MA 02115 HOSP UNIV PENN,DEPT SURG PHILADELPHIA PA 00000
Titolo Testata:
Journal of vascular surgery
fascicolo: 6, volume: 19, anno: 1994,
pagine: 992 - 1000
SICI:
0741-5214(1994)19:6<992:RPOAAI>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
GUIDED SEMICLOSED TECHNIQUE; INSITU BYPASS; VALVULOTOME; COMPLICATIONS; ANGIOGRAPHY; PATENCY; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
D.G. Clair et al., "RANDOMIZED PROSPECTIVE-STUDY OF ANGIOSCOPICALLY ASSISTED IN-SITU SAPHENOUS-VEIN GRAFTING", Journal of vascular surgery, 19(6), 1994, pp. 992-1000

Abstract

Purpose: A study was conducted to test the hypothesis that angioscopically assisted valve lysis and vein branch identification during in situ saphenous vein bypass would reduce technical causes of graft failure, local operative morbidity, and hospital stay. Methods: Patients requiring primary bypass to an infrageniculate artery were randomly assigned to undergo in situ saphenous vein bypass with valvulotomy and branch identification either under angioscopic visualization with use of short intermittent incisions (scope) or under direct vision with use ofa continuous incision (no scope). Data on operative details, morbidity, hospital length of stay, and graft patency were collected prospectively and compared. Results: Fifty-nine patients were enrolled (32 scope, 27 no scope). There were no significant differences between study groups in the incidence of diabetes, claudication versus critical ischemia indications for surgery, or popliteal versus infrapopliteal location of distal anastomoses. Rates of wound complications (9.3% and 3.7%), early graft occlusion (6.2% and 7.4%), and mean postoperative hospital stay (8.0 and 8.6 days) were statistically similar for the scope and no scope groups, respectively. Differences in cumulative secondary patency rates at 48 months (79% scope, 91% no scope) were also insignificant. Conclusions: Use of angioscopy to assist with preparation of the in situ vein for infrageniculate grafting appears to have no impact on local operative morbidity, hospital length of stay, or midterm graft patency.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 11:11:09