Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
The durability of endoscopic saphenous vein grafts: A 5-year observationalstudy
Autore:
Jordan, WD; Alcocer, F; Voellinger, DC; Wirthlin, DJ;
Indirizzi:
Univ Alabama, Vasc Surg Sect, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 Surg Sect, Birmingham, AL 35294 USA
Titolo Testata:
JOURNAL OF VASCULAR SURGERY
fascicolo: 3, volume: 34, anno: 2001,
pagine: 434 - 439
SICI:
0741-5214(200109)34:3<434:TDOESV>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
BYPASS-SURGERY; WOUND COMPLICATIONS; HARVEST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Jordan, WD Univ Alabama, Vasc Surg Sect, 430 Kracke Bldg,1922 7th Ave S, Birmingham, AL 35294 USA Univ Alabama 430 Kracke Bldg,1922 7th Ave S Birmingham AL USA 35294
Citazione:
W.D. Jordan et al., "The durability of endoscopic saphenous vein grafts: A 5-year observationalstudy", J VASC SURG, 34(3), 2001, pp. 434-439

Abstract

Background: Endoscopic saphenous vein harvest has been explored as a minimally invasive alternative to a long continuous leg incision for removal of the greater saphenous vein. The endoscopic technique uses limited incisions(2-4) with extended "skin bridges" and videoscopic equipment for the dissection and removal of the greater saphenous vein. This study was undertaken to evaluate the long-term durability of saphenous vein grafts harvested by an endoscopic technique and used for lower extremity arterial revascularization. Methods: All patients who underwent endoscopic saphenous vein harvesting for lower extremity arterial bypass grafting were prospectively followed forgraft patency and risk factors. Grafts were surveyed with serial duplex scans at 3- to 6-month intervals over this 5-year study. Life-table methods were used to assess graft survival. A computerized registry and medical records were reviewed to determine graft patency and patient survival. Results: From September 1994 to August 2000, 164 lower extremity arterial saphenous vein grafts harvested by an endoscopic technique were used for lower extremity arterial bypass grafting in 150 patients. The patient population included 111 males (75%) and 112 smokers (75%), but also included a high-risk cohort of 65 diabetic patients (43%) and 15 patients undergoing dialysis/renal transplant (10%). Twenty-eight patients (19%) died within the study period. With life-table methods, 1-, 3-, and 5-year secondary patency rates were 85% (+/- 3.2%), 74% (+/- 5.7%), and 68% (+/- 11.6%). Of the 30 failed grafts, 7 (4%) failed in the first month related to inadequate runoff (4), cardiac instability (2), and an additional surgical procedure (1). Twenty-three grafts (14%) failed between 1 and 42 months. Twenty-two (16%) of these 134 patent grafts underwent a second procedure to maintain patency (13 as primary-assisted patency and 9 as secondary patency). Conclusions. Endoscopic saphenous vein harvest for lower extremity arterial reconstruction provides a satisfactory conduit for lower extremity bypassgrafting. Although increased manipulation from this limited access technique may incite an injury response in the vein, these vein grafts can maintain an adequate patency for lower extremity bypass grafting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 16:10:45