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Titolo:
NONDISSECTION METHOD FOR TIBIAL BYPASS-SURGERY USING ESMARCHS RUBBER BANDAGE OR AN AUTOMATIC SEQUENTIAL PNEUMATIC TOURNIQUET - LONG-TERM RESULTS
Autore:
SHINDO S; IYORI K; KOBAYASHI M; SUZUKI O; KAMIYA K; TADA Y; TAKAYAMA Y; MIYATA T; TAKAGIS A; SATO O; TAKAGI A;
Indirizzi:
YAMANASHI MED UNIV,DEPT SURG 2,1110 SHIMOKATO,TAMAHO CHO YAMANASHI 40938 JAPAN UNIV TOKYO,DEPT SURG 2 TOKYO JAPAN
Titolo Testata:
Cardiovascular surgery
fascicolo: 1, volume: 6, anno: 1998,
pagine: 27 - 33
SICI:
0967-2109(1998)6:1<27:NMFTBU>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
VEIN GRAFTS; AUTOGENOUS VEIN; DISTAL BYPASS; HYPERPLASIA; FAILURE;
Keywords:
DISTAL BYPASS; NONDISSECTION METHOD; SAPHENOUS VEIN GRAFT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
S. Shindo et al., "NONDISSECTION METHOD FOR TIBIAL BYPASS-SURGERY USING ESMARCHS RUBBER BANDAGE OR AN AUTOMATIC SEQUENTIAL PNEUMATIC TOURNIQUET - LONG-TERM RESULTS", Cardiovascular surgery, 6(1), 1998, pp. 27-33

Abstract

It is suspected that operative injury to the native arteries during avascular bypass procedure causes periarterial fibrosis contributing to late graft failure. A a nondissection method for tibial artery bypass has been developed using Esmarch's rubber bandage or an automatic sequential pneumatic tourniquet, This retrospective study examined patency and other late results in distal bypass operations using the nondissection method, Between June 1982 and July 1995, 78 tibial bypasses were performed using reversed autogenous saphenous vein grafts in 70 patients (57 men, 13 women: mean age 57.4 years). Craft patency was assessed angiographically, When a stenotic lesion was recognized, the graftwas revised and considered an assisted primary patency, Primary patency rates at 1, 3, 5, and 10 years were 82.8%, 75.3%, 63.4% and 63.4%, respectively, by life-table analysis. Six grafts required revision forstenosis; one involved distal anastomotic stenosis, As a result, assisted primary patency rates resembled secondary patency rates of 87.7%,84.3%, 80.3%, and 80.3% at the same respective intervals. In conclusion, the nondissection method improved long-term patency by preventing late distal anastomotic stenosis. (C) 1998 The International Society for Cardiovascular Surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 16:39:21