| Value of concomitant sympathectomy in aortoiliac reconstruction. Results of a prospective, randomized study. | |
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MedLine Citation:
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PMID: 921531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The efficacy of concomitant lumbar sympathectomy in improving results of aortoiliac reconstruction was assessed by a prospective, randomized study of 51 patients undergoing operation for occlusive or aneurysmal disease. Sympathectomy was performed on 50 limbs, while 52 extremities served as controls. Sympathectomy resulted in a significant reduction in foot vascular resistance determined by plethysmography. However, the procedure had no effect on leg circulation, assessed by ankle/arm pressure indices determined by Doppler ultrasound. In the sympathectomy group, there were three early postoperative amputations for ischemia, despite patent grafts. In the control group, there was one late graft occlusion, caused by progressive atherosclerotic disease. Although sympathectomy may improve pedal circulation, the procedure does not appear to improve the results of aortoiliac reconstruction. |
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Authors:
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R W Barnes; W H Baker; G Shanik; W Maixner; A C Hayes; R Lin; W Clarke |
Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 112 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1977 Nov |
Date Detail:
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Created Date: 1977-12-29 Completed Date: 1977-12-29 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1325-30 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aorta, Abdominal / surgery* Aortic Aneurysm / surgery Arterial Occlusive Diseases / surgery* Blood Vessel Prosthesis Female Hemodynamics Humans Iliac Artery / surgery* Leg / blood supply Lumbosacral Region Male Middle Aged Prospective Studies Sympathectomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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