| Limb trauma with arterial injury: long-term performance of venous interposition grafts. | |
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MedLine Citation:
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PMID: 12730813 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In contrast to arterial occlusive disease, data on long-term outcomes after vein grafts in limb trauma with arterial injury are sparse. PATIENTS: From 1991 through 2001, 22 trauma victims received 23 interposition vein grafts performed by an interdisciplinary team of trauma and vascular surgeons. Indications included both blunt and penetrating injuries with critical limb ischemia in the majority of cases. RESULTS: Operative treatment of the injured vessels (brachial n = 5, radial/ulnar n = 7, popliteal n = 6, tibial n = 3, pedal n = 2) encompassed venous interposition graft of either saphenous (n = 15) or cephalic vein (n = 8). All patients survived the operative procedure. 4 graft occlusions were noted and 3 major amputations had to be performed (one despite patent graft). 13 patients (76%) were available for duplex ultrasound examination after a mean follow-up of 59 months where patent grafts could be detected in all cases. CONCLUSION: A multidisciplinary approach ensures optimal treatment strategy of arterial injury in extremity trauma. Interposition vein grafts provide durable long-term results and should be attempted even in single-vessel injuries of forearm and lower leg. |
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Authors:
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B Dorweiler; A Neufang; W Schmiedt; M H Hessmann; L Rudig; P M Rommens; H Oelert |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 51 ISSN: 0171-6425 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-05 Completed Date: 2003-08-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 67-72 Citation Subset: IM |
Affiliation:
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Department of Trauma Surgery, University Hospital, Mainz, Germany. dorweiler@htg.klinik.uni-mainz.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anticoagulants / therapeutic use Blood Flow Velocity / physiology Brachial Artery / injuries, physiopathology, transplantation Compartment Syndromes / diagnosis, physiopathology, therapy Extremities / blood supply*, injuries* Female Follow-Up Studies Graft Occlusion, Vascular / drug therapy, etiology, mortality Heparin / therapeutic use Humans Magnetic Resonance Angiography Male Middle Aged Patient Compliance Radial Artery / injuries, physiopathology, transplantation Retrospective Studies Saphenous Vein / injuries, physiopathology, transplantation Severity of Illness Index Survival Analysis Time Treatment Outcome Ulnar Artery / injuries, physiopathology, transplantation Ultrasonography, Doppler, Duplex Vascular Patency / physiology Vascular Surgical Procedures |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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