Document Detail

Simultaneous ipsilateral infrainguinal angioplasty and bypass procedures.
MedLine Citation:
PMID:  17382052     Owner:  NLM     Status:  MEDLINE    
We studied the efficacy of surgeon-performed combined ipsilateral endovascular and open arterial concomitant reconstruction at the infrainguinal level. It was a retrospective analytic study. The study included 15 patients (9 men, 6 women) who underwent 15 combined procedures between January 2000 and January 2004. They were divided into two groups. The first group consisted of nine patients with an inflow angioplasty. The second group included six patients with an outflow angioplasty. Indications for arterial reconstruction were claudication (one patient), ischemic rest pain (three patients), and gangrene (eleven patients). Immediate technical success of the combined procedures was 100%. In the first group, one patient died owing to a myocardial infarction, ischemic lesions healed in eight patients, one patient required revision of the graft and three reconstructions occluded, with one amputation of the affected limb. In the second group, one patient died owing to stoke, one patient needed a graft revision and one underwent a limb amputation. The cumulative limb salvage at 42 months was 85%. Our results suggest that simultaneous ipsilateral infrainguinal angioplasty and bypass procedures could be performed with good results. Inflow and outflow angioplasty allow using a shorter single graft segment. Outflow angioplasty ameliorates the bypass flow and accelerates the healing of ischemic lesions. The restenosis rate of the inflow angioplasty at the femoral level remains low.
Mircea L Pavkov; Patrick Lermusiaux; François Bleuet; Robert Martinez
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  15     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-03-26     Completed Date:  2007-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  30-4     Citation Subset:  IM    
CHU Tours, Hôpital Trousseau, 37044 Chambray-Les-Tours, Tours, France.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical / methods*,  mortality
Angioplasty, Balloon / methods*,  mortality
Femoral Artery / surgery
Gangrene / surgery
Intermittent Claudication / surgery
Ischemia / surgery
Limb Salvage / methods
Middle Aged
Popliteal Artery / surgery
Postoperative Complications
Retrospective Studies
Tibial Arteries / surgery
Treatment Outcome

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

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