Document Detail


Aortoiliac reconstruction in obese patients.
MedLine Citation:
PMID:  3344485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the patient with limb-threatening ischemia and aortoiliac occlusive disease surgical reconstruction with a prosthetic bypass, because of its safety and durability, has emerged as the treatment of choice. In obese patients, however, such therapy might be eschewed because of the frequent coexistence of multiple risk factors and the large size of these patients. In ten obese patients who had limb-threatening ischemia or rapidly worsening disabling claudication and aortoiliac occlusive disease, direct aortoiliac reconstruction was performed. There were no perioperative deaths, and only one major complication occurred in this group. The cumulative 5-year graft limb-patency and limb-salvage rates were each 90%. Despite the higher risk and unusual technical challenges that obese patients may present, direct reconstruction is the preferred treatment for aortoiliac occlusive disease and limb-threatening ischemia.
Authors:
S G Friedman; R J Batista; C G Moccio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  103     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-04-01     Completed Date:  1988-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  311-4     Citation Subset:  AIM; IM    
Affiliation:
North Shore University Hospital, Division of Vascular Surgery, Manhasset, NY 11030.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Abdominal / surgery*
Arterial Occlusive Diseases / surgery*
Blood Vessel Prosthesis
Female
Humans
Iliac Artery / surgery*
Male
Middle Aged
Obesity / complications*
Retrospective Studies
Comments/Corrections
Erratum In:
Surgery 1989 Jan;105(1):118

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


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