| The seven-year' secondary patency of a fresh arterial allograft in the femorocrural position in a heart transplant recipient. | |
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MedLine Citation:
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PMID: 20599350 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Critical limb ischemia in patients with diabetes at the organ complication stage represents a considerable challenge in vascular medicine. Because of the complexity of the disease and the often symmetric involvement of both lower limbs, a discrepancy between suitable vascular conduit availability and the actual requirement can occur: notably, the prevalence of multilevel and diffuse arterial disease often limits the possibilities of endovascular treatment, and, in surgical cases, frequently prohibits the effective use of prosthetic material. In our patient with bilateral critical limb ischemia and previous coronary artery bypass graft followed by cardiac transplantation, only one great saphenous vein remained available. That was used in its entirety to salvage one limb as a sequential femorocrural bypass. A similar surgical procedure with a fresh arterial allograft retrieved from a deceased donor was performed on the other extremity . ABO compatibility as well as the chronic immunosuppressive therapy in a heart transplant recipient may have contributed to the favorable long-term clinical outcome of the allogeneic arterial reconstruction. |
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Authors:
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Pavel Sebesta; Petr Stádler; Petr Sedivý; Karel Bartík |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-07-06 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 24 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2011-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 953.e7-953.e10 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Vascular Surgery, Na Homolce Hospital, Prague, Czech Republic. pavel.sebesta@homolka.cz |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arteries
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transplantation Diabetic Angiopathies / etiology, physiopathology, surgery* Female Femoral Artery / physiopathology, surgery* Heart Transplantation* Humans Immunosuppressive Agents / administration & dosage Ischemia / etiology, physiopathology, surgery* Lower Extremity / blood supply* Magnetic Resonance Angiography Middle Aged Peripheral Arterial Disease / etiology, physiopathology, surgery* Saphenous Vein / transplantation Time Factors Transplantation, Homologous Treatment Outcome Vascular Grafting* Vascular Patency* |
| Chemical | |
Reg. No./Substance:
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0/Immunosuppressive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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