| Long-term results with vein homograft in femoro-distal arterial reconstructions. | |
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MedLine Citation:
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PMID: 1959685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There still is a need for an alternative to autologous vein especially for infra-inguinal vascular reconstructions. Since 1984 we have used a denatured venous homograft in patients in whom the saphenous vein was either absent or unsuitable. One hundred and five homografts were implanted in the femoro-popliteal and 51 in the femoro-infrapopliteal position. The results obtained were satisfactory, with a 5-year cumulative patency (life-table method) of 53% overall, 68.4% in patients with disabling claudication, and 42% in those with critical ischaemia. The cumulative aneurysm rate was rather high, at 18% after 3 years and 58% after 5 years. An excellent limb salvage rate of 85% was achieved in patients with critical ischaemia. The management of graft aneurysms and the indications for reconstructive surgery with a denatured venous homograft are discussed. |
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Authors:
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R W van Reedt Dortland; M S van Leeuwen; J J Steijling; T Theodorides; T J van Vroonhoven |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular surgery Volume: 5 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1991 Oct |
Date Detail:
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Created Date: 1992-01-08 Completed Date: 1992-01-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 557-64 Citation Subset: IM |
Affiliation:
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Department of Surgery, University Hospital, Utrecht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Bioprosthesis* Blood Vessel Prosthesis* Female Femoral Artery / surgery*, ultrasonography Follow-Up Studies Graft Occlusion, Vascular / ultrasonography* Humans Ischemia / surgery*, ultrasonography Leg / blood supply* Male Middle Aged Popliteal Artery / surgery, ultrasonography Prosthesis Design Tibial Arteries / surgery, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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