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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1995-2-17
|
| pubmed:abstractText |
The implantation of an aortic bifurcation graft (ABG) for treatment of occlusive (OD) and aneurysmal (AD) aortoiliac disease is a standard technique with good long-term results and a relatively low incidence of complications. In a retrospective review of our patients from 1964 to 1993 only 36/1520 patients were identified who required reoperation at the proximal aortic anastomosis after ABG. Indications were graft occlusion (15/36) and graft stenoses (2/36), refractory to graft thrombectomy, proximal aortic anastomotic aneurysms (11/36) or graft infection (8/36). Graft occlusion or stenosis most frequently led to aortic reoperation in the OD-group (53.5%), recurrent aneurysmal disease (37.5%) and graft infection (37.5%) were the dominant indications in the AD-group. Mean time interval to reoperation was shorter in cases of graft infection (35 +/- 33 months) as compared with graft stenosis (66 +/- 58 months), graft occlusion (86 +/- 49 months) or aortic anastomotic aneurysms (152 +/- 90 months). Of the reoperations, 92% were done electively, 8% as emergency procedures. The perioperative course was uneventful in 67% of patients. Overall mortality rate after elective revisional surgery was 3% but reached 66% in emergencies. Postoperative morbidity and mortality was related to preoperative morbidity and the urgency of surgery, not with the mode of aortic intervention nor indication.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0950-821X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
8
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
735-40
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7828752-Anastomosis, Surgical,
pubmed-meshheading:7828752-Aorta, Abdominal,
pubmed-meshheading:7828752-Aortic Aneurysm, Abdominal,
pubmed-meshheading:7828752-Aortic Diseases,
pubmed-meshheading:7828752-Arterial Occlusive Diseases,
pubmed-meshheading:7828752-Blood Vessel Prosthesis,
pubmed-meshheading:7828752-Emergencies,
pubmed-meshheading:7828752-Female,
pubmed-meshheading:7828752-Graft Occlusion, Vascular,
pubmed-meshheading:7828752-Humans,
pubmed-meshheading:7828752-Iliac Aneurysm,
pubmed-meshheading:7828752-Iliac Artery,
pubmed-meshheading:7828752-Male,
pubmed-meshheading:7828752-Middle Aged,
pubmed-meshheading:7828752-Postoperative Complications,
pubmed-meshheading:7828752-Prosthesis-Related Infections,
pubmed-meshheading:7828752-Reoperation,
pubmed-meshheading:7828752-Retrospective Studies,
pubmed-meshheading:7828752-Time Factors
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Revision of the proximal aortic anastomosis after aortic bifurcation surgery.
|
| pubmed:affiliation |
Department of Surgery, University of Heidelberg, Germany.
|
| pubmed:publicationType |
Journal Article
|