| Preservation for future use of the autologous saphenous vein during femoro-popliteal bypass surgery is inexpedient. | |
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MedLine Citation:
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PMID: 18675557 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To investigate the usefulness of greater saphenous vein preservation for future vascular reconstructions during femoro-popliteal bypass surgery. DESIGN: Post-hoc analysis of data acquired in a randomized multi-centre clinical trial comparing two different vascular prostheses (ClinicalTrials.gov ID: NCT 00523263). PATIENTS AND METHODS: The true frequency of ipsilateral saphenous vein use in subsequent femoro-popliteal and coronary bypass surgery was investigated through case-record analysis with a median follow-up of 60 months in 100 consecutive patients, that received a prosthetic femoro-popliteal bypass between 1996 and 2001. RESULTS: An ipsilateral secondary femoro-popliteal bypass was performed in 11 patients (11%) at a mean interval of 34 months (range 1-96). The ipsilateral saphenous vein was applied for these procedures in 8 cases (8%). The cumulative probability of receiving a subsequent bypass was 8% at 3 years and 10% at 5 years follow-up respectively. One patient (1%) underwent CABG at 8 years follow-up with the use of ipsilateral lower leg saphenous vein segments only. CONCLUSION: Preservation of the greater saphenous vein in supragenicular femoro-popliteal bypass surgery is not a valid argument for application of prosthetic material. |
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Authors:
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M Dirven; D M Scharn; J D Blankensteijn; J A van der Vliet |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 36 ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-09-15 Completed Date: 2008-10-02 Revised Date: 2008-11-29 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 420-3 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00523263 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Blood Vessel Prosthesis Implantation* Coronary Artery Bypass Female Femoral Artery / surgery* Humans Ischemia / surgery* Leg / blood supply Male Middle Aged Popliteal Artery / surgery* Randomized Controlled Trials as Topic Reoperation Saphenous Vein / transplantation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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