Document Detail

Using the angio-seal to achieve hemostasis in prosthetic endovascular surgery: report of three cases.
MedLine Citation:
PMID:  15526135     Owner:  NLM     Status:  MEDLINE    
At least 10% of patients who undergo bilateral aortofemoral bypass are at risk of needing a reoperation for late prosthetic thrombosis because of reduced outflow as the disease progresses. To prevent occlusion of the prostheses, we performed endovascular surgery with transprosthetic access for distal stenosis. We report our experience of using the Angio-Seal with transprosthetic access after angioplasty in three patients who had undergone bilateral aortofemoral bypass. Hemostasis was achieved in all three patients. There were no complications, such as hemorrhage, hematoma, or prosthetic infection, and all three patients were discharged within 24 h. At the 12-, 15-, and 24-month follow-up, none of the patients had any sign of recurrent claudication. Using the Angio-Seal in bilateral aortofemoral bypass provided the means of treating distal stenosis by endovascular surgery with transprosthetic access. This method is both rapid and safe, and may broaden the indications for the endovascular treatment of distal arteriopathies in patients with vascular prostheses.
Gian Franco Veraldi; Giovanni de Manzoni; Alfredo Guglielmi; Gerardo Mangiante; Francesca Fior; Sebastiano Tasselli; Roberto Dusi; Corrado Pedrazzani; Ivan Tomasi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  34     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2004  
Date Detail:
Created Date:  2004-11-04     Completed Date:  2005-03-10     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  965-7     Citation Subset:  IM    
Dipartimento di Scienze Chirurgiche e Gastroenterologiche, I Divisione Clinicizzata di Chirurgia Generale, Istituto di Semeiotica Chirurgica, Università degli Studi di Verona, Ospedale Civile Maggiore di Verona, P.le A. Stefani 1, 37126 Verona, Italy.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical
Aortography / methods
Arterial Occlusive Diseases / radiography,  surgery*
Blood Vessel Prosthesis*
Femoral Artery / radiography,  surgery*
Follow-Up Studies
Hemostasis, Surgical / instrumentation*,  methods
Intermittent Claudication / radiography,  surgery
Risk Assessment
Sampling Studies
Severity of Illness Index
Treatment Outcome
Vascular Surgical Procedures / methods*

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