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Titolo:
INFRAINGUINAL RECONSTRUCTION WITH ARM VEIN, LESSER SAPHENOUS-VEIN, AND REMNANTS OF GREATER SAPHENOUS-VEIN - A REPORT OF 257 CASES
Autore:
LONDREY GL; BOSHER LP; BROWN PW; STONEBURNER FD; PANCOAST JW; DAVIS RK;
Indirizzi:
VA SURG ASSOC PC,417 LIBBIE AVE RICHMOND VA 23226
Titolo Testata:
Journal of vascular surgery
fascicolo: 3, volume: 20, anno: 1994,
pagine: 451 - 457
SICI:
0741-5214(1994)20:3<451:IRWAVL>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOWER-EXTREMITY REVASCULARIZATION; BYPASS GRAFTS; AUTOGENOUS VEIN; ISCHEMIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
G.L. Londrey et al., "INFRAINGUINAL RECONSTRUCTION WITH ARM VEIN, LESSER SAPHENOUS-VEIN, AND REMNANTS OF GREATER SAPHENOUS-VEIN - A REPORT OF 257 CASES", Journal of vascular surgery, 20(3), 1994, pp. 451-457

Abstract

Purpose: The purpose of this study was to evaluate the results of infrainguinal reconstructions with arm vein, lesser saphenous vein, and remnants of greater saphenous vein (ectopic vein grafts). Methods: The records of 222 patients who underwent 257 bypasses were retrospectively reviewed. Most of the grafts were placed for rest pain or tissue loss (88%) and were secondary reconstructions (70%) to the infrapopliteallevel (90%). Single-length vein grafts were constructed in 66% of cases, whereas 34% were composite vein grafts. Results: Secondary graft patency was 70%, 52%, and 43% at 1, 3, and 5 years. Single-length grafts had significantly better patency rates at all intervals: 78% versus 56% 0.001), 60% versus 39% at 3 years (p = 0.004), and 52% versus 29% at at 1 year (p = 0.002). The limb salvage rate was 69% at 5 years. 5 years (p Conclusions: Ectopic vein grafts with primarily arm vein are an acceptable alternative for infrainguinal reconstruction in the absence of suitable ipsilateral greater saphenous vein.

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Documento generato il 25/11/20 alle ore 07:13:25