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Titolo:
INFRAGENICULATE BYPASS GRAFT ENTRAPMENT
Autore:
CARPENTER JP; LIEBERMAN MD; SHLANSKYGOLDBERG R; BRAVERMAN SE; SOULEN M; HOLLAND GA; BAUM RA; OWEN RS; GOLDEN MA; BERKOWITZ HD; BARKER CF; PERLOFF LJ;
Indirizzi:
HOSP UNIV PENN,3400 SPRUCE ST,4 SILVERSTEIN PHILADELPHIA PA 19104 UNIV PENN,SCH MED,DEPT SURG PHILADELPHIA PA 19104 UNIV PENN,SCH MED,DEPT RADIOL PHILADELPHIA PA 19104
Titolo Testata:
Journal of vascular surgery
fascicolo: 1, volume: 18, anno: 1993,
pagine: 81 - 89
SICI:
0741-5214(1993)18:1<81:IBGE>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
POPLITEAL ARTERY ENTRAPMENT;
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Carpenter et al., "INFRAGENICULATE BYPASS GRAFT ENTRAPMENT", Journal of vascular surgery, 18(1), 1993, pp. 81-89

Abstract

When failure of vein grafts is due to technical error it is usually observed in the early postoperative period. In this review we describe late failure of five bypass grafts as a result of entrapment of the vein graft caused by an improperly placed tunnel from the femoral to thepopliteal artery. Vein graft entrapment may either produce no symptoms or eventually lead to limb ischemia. Pulses and pressures that vary with flexion and extension maneuvers should alert the clinician to thepossibility of an entrapment syndrome. The characteristic arteriographic findings observed in these patients include an aberrant course of the vein graft outside the anatomic course of the popliteal artery andposition-dependent compression of the graft. The ability of magnetic resonance angiography to demonstrate the arteriographic appearance of the graft as well as the precise location of the compression and to identify structures involved in the entrapment, make it a valuable noninvasive tool in the preoperative assessment of these patients. Treatment options include division of the gastrocnemius muscle, division of the vein graft, or replacement of the vein graft. Familiarity with vein graft entrapment should facilitate its recognition. Careful placement of bypass grafts along the anatomic course of the popliteal artery within the popliteal space will prevent this complication.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 13:05:42