Document Detail


Long-term results with vein homograft in femoro-distal arterial reconstructions.
MedLine Citation:
PMID:  1959685     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R W van Reedt Dortland; M S van Leeuwen; J J Steijling; T Theodorides; T J van Vroonhoven
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  5     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1992-01-08     Completed Date:  1992-01-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  557-64     Citation Subset:  IM    
Affiliation:
Department of Surgery, University Hospital, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
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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