Document Detail


Aortic aneurysm: to tube or not to tube.
MedLine Citation:
PMID:  7071749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred seventy-five patients underwent aortic aneurysm replacement from 1970 to 1977, and these patients were reviewed retrospectively as to the need for further aortic surgery because of progression of atherosclerosis or aneurysmal disease. A 99% (174 of 175) follow-up was obtained. Eighty-six patients had tube graft replacement operations. Selection of tube graft replacement as opposed to other operative techniques included physical examination, documentation of segmental pressures by Dopper studies, and aortography. Seventy-three percent of all patients undergoing aortic aneurysm replacement had angiography performed before surgery to demonstrate the location of the aneurysm as well as evidence of occlusive disease. Of the eighty-six patients with tube graft replacements (mean follow-up 4.86 years +/- 2 years), two patients required aortobifemoral grafting--one for iliac stenosis, the other for an occluded iliac artery secondary to a thrombosed femoral aneurysm. Only 6 of the 86 patients who underwent tube graft replacement developed symptoms of claudication. None of these patients required operation. This retrospective study demonstrates that placement of a tube graft for aortic aneurysm is a reliable operation in carefully selected patients. Few of these patients require repeat aortic surgery for occlusive or aneurysmal iliofemoral disease. Extensive follow-up of tube graft patients is discussed.
Authors:
M H Glickman; C C Julian; S Kimmins; W E Evans
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  91     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1982 May 
Date Detail:
Created Date:  1982-06-24     Completed Date:  1982-06-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  603-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Aged
Aorta, Abdominal / surgery
Aortic Aneurysm / surgery*
Blood Vessel Prosthesis*
Follow-Up Studies
Humans
Methods
Middle Aged
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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