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Titolo:
ROLE OF INFRAINGUINAL BYPASS IN BUERGERS-DISEASE - AN 18-YEAR EXPERIENCE
Autore:
SASAJIMA T; KUBO Y; INABA M; GOH K; AZUMA N;
Indirizzi:
ASAHIKAWA MED COLL,DEPT SURG 1,NISHIKAGURA 4-5 ASAHIKAWA HOKKAIDO 078JAPAN
Titolo Testata:
European journal of vascular and endovascular surgery
fascicolo: 2, volume: 13, anno: 1997,
pagine: 186 - 192
SICI:
1078-5884(1997)13:2<186:ROIBIB>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
THROMBOANGIITIS-OBLITERANS; INTERMITTENT CLAUDICATION; RECONSTRUCTION; TRIAL;
Keywords:
BUERGERS DISEASE; INFRAINGUINAL BYPASS; AUTOGENOUS VEIN; SMOKING; CLAUDICATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
T. Sasajima et al., "ROLE OF INFRAINGUINAL BYPASS IN BUERGERS-DISEASE - AN 18-YEAR EXPERIENCE", European journal of vascular and endovascular surgery, 13(2), 1997, pp. 186-192

Abstract

Objectives: The role of bypass to the distal arteries for patients with Buerger's disease (thromboangiitis or TAO) remains controversial because of the high incidence of graft failure. We retrospectively reviewed the results of 71 bypasses to evaluate their efficacy. Materials and methods: We performed 71 autogenous vein bypasses in 61 patients, 97% were heavy smokers. The indications for surgery were claudication in 41%, and ischaemic ulcer or gangrene in 59%. Of the bypasses 85% were to the crural arteries or to the arteries below the ankle. The grafts used were 53 single saphenous veins, and 18 venovenous composite grafts. Results: There were 38 graft failures, the main causes including anastomosis to a diseased artery, disease progression (which occurred in smokers after surgery), and vein graft stenosis. Of 38, 10 were restored to patency by revision surgery. Primary and secondary patency rates were 48.8% and 62.5% at 5 years, and 43.0% and 56.3% at 10 years, respectively. The patency rates of the postoperative non-smoking groupwas significantly higher than that of the smoking group (66.8% vs. 34.7%, p < 0.05). Thirty-six patients (59%) had successful revascularisation and returned to full-time work. However, of 28 with secondary failure, 11 underwent amputation, while 14 had persistent disabling claudication. Conclusion: Bypass to the distal arteries is an effective treatment for TAO patients, and the long-term patency is quite satisfactory as long as patients stop smoking.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:33:17