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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1999-2-12
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pubmed:abstractText |
During a 6-year period six patients had combined revascularizations for an abdominal aortic aneurysm and a high-grade (> 80%) stenosis of either the superior mesenteric artery (N = 14) and/or a renal artery (N = 60 including 6 bilateral revascularizations). Revascularizations of a visceral artery were done more often with a bypass graft (N = 61) than by endarterectomy (N = 6), reimplantation (N = 4) or endovascular technique (N = 3). Fifty patients had concomitant repair of the aorta and of the visceral artery, and ten had a staged repair, favored in-high risk patients and in cases of multiple visceral artery revascularizations. Four patients (7.5%) died (2 myocardial infarctions and 2 multisystem organ failure) and twelve (20%) had a non-fatal complication in the postoperative period. Survival was 91% at one year and 81% at 5 years. Our experience emphasizes the option of a staged approach in these high-risk patients, with the availability of extra-anatomic reconstruction, and the limited value of endovascular revascularization of the visceral arteries.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0398-0499
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
333-41
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9894186-Adult,
pubmed-meshheading:9894186-Aged,
pubmed-meshheading:9894186-Aged, 80 and over,
pubmed-meshheading:9894186-Aortic Aneurysm, Abdominal,
pubmed-meshheading:9894186-Arterial Occlusive Diseases,
pubmed-meshheading:9894186-Endarterectomy,
pubmed-meshheading:9894186-Humans,
pubmed-meshheading:9894186-Middle Aged,
pubmed-meshheading:9894186-Postoperative Complications,
pubmed-meshheading:9894186-Reoperation,
pubmed-meshheading:9894186-Retrospective Studies,
pubmed-meshheading:9894186-Risk Factors,
pubmed-meshheading:9894186-Vascular Surgical Procedures
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pubmed:year |
1998
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pubmed:articleTitle |
[Abdominal aortic aneurysms associated with visceral artery stenoses].
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pubmed:affiliation |
Clinique de la Défense, Nanterre.
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pubmed:publicationType |
Journal Article,
English Abstract
|