Document Detail


Denatured venous homograft as an arterial substitute in civilian vascular injuries. Thirty months' experience.
MedLine Citation:
PMID:  9659879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Autologous saphenous vein (ASV) for arterial reconstruction, in vascular limb injuries is the graft material of choice. Denatured saphenous vein homograft (DSVH), thanks to its characteristics of readily available autologous biological prosthesis, has been proposed as alternative. We report our prospective experience with DSVH employed for arterial reconstruction in civilian limb vascular injuries. MATERIALS: From January 1994 to June 1996, DSVH was implanted in 16 male patients (pts.) treated for arterial civilian injuries of eight upper limbs and eight lower limbs. METHODS: In 14 cases it was performed as an interposition graft and in two cases a bypass. We performed a 30-month follow-up and a 20-month mean follow-up. RESULTS: Four patients had graft thrombosis at the first postoperative week and were submitted to the replacement of the graft with reappearance of distal arterial pulse; one of them had graft failure at the fifth postoperative week and because the necrosis due to extensive soft tissue damage, he was submitted to limb amputation. After 30-months' follow-up we obtained 75% primary patency rate and 93% secondary patency rate. CONCLUSIONS: In the absence of suitable ASV, DSVH appears to be an interesting alternative for arterial repair in limbs in civilian vascular injuries.
Authors:
G La Barbera; G Pumilia; G La Marca; A Martino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  15     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-07-28     Completed Date:  1998-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  467-71     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Civic Hospital Benfratelli of Palermo, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Amputation
Arm Injuries / surgery*
Brachial Artery / injuries*,  surgery
Femoral Artery / injuries*,  surgery
Follow-Up Studies
Graft Occlusion, Vascular / etiology
Graft Survival
Humans
Leg Injuries / surgery*
Male
Middle Aged
Necrosis
Popliteal Artery / injuries*,  surgery
Postoperative Complications
Prospective Studies
Reoperation
Saphenous Vein / transplantation*
Soft Tissue Injuries / pathology,  surgery
Tissue Preservation
Transplantation, Homologous
Vascular Patency

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


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