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Titolo:
Prospective comparison of arm veins and greater saphenous veins as infrageniculate bypass grafts
Autore:
Brochado-Neto, FC; Albers, M; Pereira, CAB; Gonzalez, J; Cinelli, M;
Indirizzi:
Univ Sao Paulo, Fac Med, Disciplina Cirurg Vasc, BR-05508 Sao Paulo, Brazil Univ Sao Paulo Sao Paulo Brazil BR-05508 asc, BR-05508 Sao Paulo, Brazil Hosp Servidor Publ Estadual Francisco Morato Oliv, Serv Chirurg Vasc, Sao Paulo, Brazil Hosp Servidor Publ Estadual Francisco Morato Oliv Sao PauloBrazil azil Univ Sao Paulo, Inst Matemat & Estatist, BR-05508 Sao Paulo, Brazil Univ Sao Paulo Sao Paulo Brazil BR-05508 ist, BR-05508 Sao Paulo, Brazil
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 2, volume: 22, anno: 2001,
pagine: 146 - 151
SICI:
1078-5884(200108)22:2<146:PCOAVA>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFRAINGUINAL ARTERIAL RECONSTRUCTION; AUTOGENOUS VEIN; DISTAL BYPASS; LIMB SALVAGE; FOLLOW-UP; PATENCY; SURGERY; POPLITEAL; TRIALS;
Keywords:
arterial occlusive diseases; ann vein; bypass grafts;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Albers, M Rua Ministro Godoi,1584,AP74, BR-05015001 Sao Paulo, Brazil RuaMinistro Godoi,1584,AP74 Sao Paulo Brazil BR-05015001 BCil
Citazione:
F.C. Brochado-Neto et al., "Prospective comparison of arm veins and greater saphenous veins as infrageniculate bypass grafts", EUR J VAS E, 22(2), 2001, pp. 146-151

Abstract

Objectives: to compare arm and saphenous veins for infrageniculate bypass grafting. Design: prospective non-randomised study. Materials: two hundred patients, of which 197 had ischaemic tissue loss orrest pain. Methods: two hundred and eleven infrageniculate vein bypass procedures using 176 greater saphenous veins and 35 arm veins. Results: the cumulative primary graft patency rate at 1-month and 2 years was 80% and 61% for saphenous vein and 89% and 42% for arm vein. The corresponding rates for secondary patency were 84.5% and 68%, and 91% and 57%, respectively. These results corresponded to a relative risk of secondary failure of 1.53 (95% CT 0.71, 3.31) for at-in vein grafts. In subgroup analyses, this estimate was 0.93 and 2.1 for primary vs secondary bypasses and 0.38and 2.06 for single-vein vs spliced-vein bypasses. Among arm veins, cephalic vein grafts performed better than basilic vein grafts. Early mortality was 14% for arm vein and 10%, for saphenous vein. Conclusion; in the setting of infrageniculate bypass grafting, arm vein crafts are not equivalent to greater saphenous vein grafts, but contribute importantly to a policy of using autologous veins. The possibility of equivalence remains for the arm vein graft that uses a cephalic vein or is a primary procedure.

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Documento generato il 29/11/20 alle ore 00:59:08