Document Detail


Infrainguinal arterial reconstruction with autologous vein grafts: are the results for the in situ technique better than those of non-reversed bypass? A long-term follow-up study.
MedLine Citation:
PMID:  11292939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to answer the question if the in situ technique in infrainguinal arterial reconstruction is better than the non reversed one in long-term follow-up. METHODS: Patients were included in a prospective study at operation. 387 infrainguinal arterial reconstructions in 367 patients performed from 10-88 to 12-98 were retrospectively analysed. RESULTS: 280 non-reversed and 107 in situ bypass procedures were performed. Primary patency rates at 60 months were 63.3% for non-reversed and 57.9% for in situ grafts (p=n.s.). Primary assisted patency rates were 81.8% and 84.5% respectively (p=n.s.). Limb salvage rate was not different in either group. The 30-day mortality was 1.9% in the in situ group and 0.7% in the non-reversed group (p=n.s.). CONCLUSIONS: There is no difference in outcome between in situ and non-reversed vein grafting. Absence of statistical difference between the two procedures may be mainly due to the routine use of angioscopic quality control.
Authors:
T Eugster; P Stierli; P Aeberhard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  42     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-09     Completed Date:  2001-07-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  221-6     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, University Hospital Aarau/Basle, Switzerland. eugster.thomas@ksa.ch
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Femoral Artery / surgery
Follow-Up Studies
Humans
Intermittent Claudication / surgery*
Ischemia / surgery*
Leg / blood supply
Male
Popliteal Artery / surgery
Prospective Studies
Saphenous Vein / transplantation
Tibial Arteries / surgery
Time Factors
Transplantation, Autologous
Vascular Patency
Vascular Surgical Procedures / methods*

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


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