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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1992-2-14
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| pubmed:abstractText |
The authors describe their initial experience with the use of the in situ saphenous vein arterial by-pass technique for infrainguinal revascularization. From December 1986 to August 1989, we performed 101 in situ saphenous vein arterial by-passes. From these 101 by-pass, 18 composite or partial in situ vein by-passes (in situ + reversed vein) and 2 extra-anatomical sequencial by-passes (one axillofemoral and one cross-over femorofemoral proximal by-passes extended by in situ saphenous vein femoropopliteal arterial by-passes) were withdrawn from the statistics, with the purpose of analysing the natural evolution of the in situ vein arterial by-pass without the insertion of reversed vein segments and/or the influence of artificial grafts to improve arterial inflow. Therefore only 81 in situ by-pass cases will be analysed in the present paper. From these 81 cases, 44 (54.3%) were performed in diabetic patients and limb salvage was the indication for by-pass in 63 (81%). The saphenous vein valves were rendered incompetent utilising the retrograde Mills-Leather valvulotome and exposing the greater saphenous vein with a continuous incision. In the 81 cases, wound complications occurred in 18 limbs (22%) and operative mortality (30 days) was 6.1%. Primary cumulative patency rate of the 81 cases was 77% and secondary cumulative patency rate was 80%, at the end of the analysed period. The open technique, using a retrograde valvulotome and exposing the entire conduit of the greater saphenous vein, became our preferred technique for infrainguinal revascularization.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
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| pubmed:issn |
0392-9590
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
126-32
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| pubmed:dateRevised |
2004-11-17
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| pubmed:meshHeading |
pubmed-meshheading:1765713-Adult,
pubmed-meshheading:1765713-Aged,
pubmed-meshheading:1765713-Arteriosclerosis,
pubmed-meshheading:1765713-Arteriovenous Shunt, Surgical,
pubmed-meshheading:1765713-Female,
pubmed-meshheading:1765713-Femoral Artery,
pubmed-meshheading:1765713-Humans,
pubmed-meshheading:1765713-Leg,
pubmed-meshheading:1765713-Life Tables,
pubmed-meshheading:1765713-Male,
pubmed-meshheading:1765713-Middle Aged,
pubmed-meshheading:1765713-Popliteal Artery,
pubmed-meshheading:1765713-Postoperative Complications,
pubmed-meshheading:1765713-Reoperation,
pubmed-meshheading:1765713-Saphenous Vein,
pubmed-meshheading:1765713-Tibial Arteries,
pubmed-meshheading:1765713-Vascular Patency
|
| pubmed:articleTitle |
In situ saphenous vein arterial bypass for infrainguinal revascularization: initial experience using an open technique.
|
| pubmed:affiliation |
Vascular Service, Jacarepaguá General Hospital, National Institute of Social Welfare, Rio de Janeiro, Brazil.
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| pubmed:publicationType |
Journal Article
|