| Aortofemoral bypass in the presence of total juxtarenal aortic occlusion. | |
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MedLine Citation:
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PMID: 8454084 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Forty-two patients with total juxtarenal aortic occlusion were offered aortobifemoral bypass over a 6 year period. The majority presented with claudication and males predominated. In all patients, aortobifemoral bypass was successfully performed. The groins were initially explored and the aorta was then thrombectomised prior to the standard aortobifemoral bypass. Follow-up period ranged between 6 months and 5 years. There was a 4.8% perioperative mortality. Graft occlusion occurred in two patients in the immediate postoperative period, resulting in major amputation in one patient. Three patients developed graft occlusion during the period of follow-up, none of whom required amputation. Graft sepsis occurred in one patient and one patient developed a false aneurysm. We conclude that angiography cannot predict the feasibility of bypass in the presence of total aortic occlusion, and in our hands aortobifemoral bypass is feasible in all these patients. Early results are no different from the rest of the patients with aortoiliac disease. |
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Authors:
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T E Madiba; J V Robbs |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular surgery Volume: 7 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1993 Jan |
Date Detail:
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Created Date: 1993-04-20 Completed Date: 1993-04-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 77-81 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Natal, Durban, South Africa. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anastomosis, Surgical Aorta, Abdominal / surgery Aortic Diseases / mortality, surgery* Arteriosclerosis / mortality, surgery* Blood Vessel Prosthesis* Female Femoral Artery / surgery Follow-Up Studies Graft Occlusion, Vascular / mortality Humans Ischemia / mortality, surgery* Kidney / blood supply* Leg / blood supply* Male Middle Aged Postoperative Complications / mortality Survival Rate Thrombosis / mortality, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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