Document Detail


Role of vascular endoscopy in aortoiliac and femoropopliteal thromboendarterectomy.
MedLine Citation:
PMID:  8634856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over the last few years the technique of thromboendarterectomy in the aortoiliac and femoropopliteal position has experienced a renaissance. Nearly 15 years ago thromboendarterectomy was found to have an increased early occlusion rate, especially in the femoropopliteal position (8-10%), and a high late complication of myointimal hyperplasia with subsequent stenosis. Bypass procedures were preferred to thromboendarterectomy because of these reasons. A prospective study was started in Lippstadt after good results of a retrospective study from the University of Ulm (1970-1990), in which angioscopy was used as a means of intraoperative assessment during thromboendarterectomy, were reported. Some 24 aortoiliac, 11 ileofemoral and 26 femoropopliteal semiclosed thromboendarterectomies were admitted to the study. Several technical problems including intimal flaps and incomplete obliteration were detected and treated immediately under direct visualization through the angioscope. During a mean follow-up of 10 months only one patient developed an ileofemoral occlusion. No deep infection or mortality was recorded. Angioscopy reduces the early postoperative occlusion rate after thromboendarterectomy.
Authors:
H Kogel; M Szombat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-07-08     Completed Date:  1996-07-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  93-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Dreifaltigkeitshospital, Lippstadt, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioscopy*
Aorta, Abdominal / surgery*
Arterial Occlusive Diseases / etiology,  surgery
Constriction, Pathologic / etiology
Endarterectomy* / adverse effects
Female
Femoral Artery / surgery*
Follow-Up Studies
Humans
Hyperplasia
Iliac Artery / surgery*
Intraoperative Care
Intraoperative Complications
Male
Middle Aged
Muscle, Smooth, Vascular / pathology
Popliteal Artery / surgery*
Prospective Studies
Radiology, Interventional
Retrospective Studies
Tunica Intima / pathology
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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