Document Detail

Extraperitoneal aortoiliac disobliteration with plaque cracker.
MedLine Citation:
PMID:  686267     Owner:  NLM     Status:  MEDLINE    
Disobliteration of the aorta and iliac arteries through an extraperitoneal approach is described. An intimal guillotine (plaque cracker) is used to transect the intima of the unopened vessel. The intima is then milked down to a transverse arteriotomy in the left common iliac artery, through which all of the discarded intima is removed. Since the intima is dissected free before opening the vessels, blood loss is minimal. The procedure is rapid and requires only an average of 19 minutes of aortic cross clamping. Our operative mortality was 4.2 per cent and the long-term patency rate 75 per cent.
H H LeVeen; C Diaz; W M Ip
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  136     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1978 Aug 
Date Detail:
Created Date:  1978-10-25     Completed Date:  1978-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  AIM; IM    
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MeSH Terms
Aorta / surgery*
Arteriosclerosis / surgery
Endarterectomy / instrumentation,  methods
Iliac Artery / surgery*
Surgical Instruments*

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

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