| Pelvic revascularization by direct hypogastric artery reconstruction. | |
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MedLine Citation:
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PMID: 8651383 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: While pelvic arterial insufficiency, either acute or chronic, results in stereotypic clinical findings which may readily be reversed by indirect techniques of revascularization, few reports document the indications for, techniques of, and results following direct pelvic revascularization by reconstruction of the hypogastric artery. METHODS: Retrospective review of 8 patients with symptomatic pelvic arterial insufficiency undergoing direct hypogastric artery reconstruction during the period from 1984 to 1995. RESULTS: Eight patients underwent unilateral hypogastric artery reconstruction by bypass graft (3 patients) or endarterectomy and patch angioplasty (5 patients). One patient had immediate symptomatic relief of his symptoms, but was lost to follow-up after 1 month. One patient manifested no symptomatic improvement despite a technically successful operation. The remaining 6 patients experienced significant symptomatic relief that has persisted during follow-up from 3 months to 11 years postoperatively. Among 4 men in whom erectile impotence comprised one of the indications for intervention, 3 reported sustained restoration of sexual function. CONCLUSION: In properly selected patients, direct pelvic revascularization by hypogastric artery reconstruction may predictably and durably relieve symptoms of pelvic arterial insufficiency. |
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Authors:
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K Johansen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 171 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-07-19 Completed Date: 1996-07-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 456-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, University of Washington School of Medicine, Seattle, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arterial Occlusive Diseases / surgery* Female Humans Male Middle Aged Pelvis / blood supply* Retrospective Studies Treatment Outcome Vascular Surgical Procedures* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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