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External reinforcement of varicose veins with PTFE prosthesis in infrainguinal bypass surgery -- clinical results.
- Source :
-
The Thoracic and cardiovascular surgeon [Thorac Cardiovasc Surg] 2003 Apr; Vol. 51 (2), pp. 62-6. - Publication Year :
- 2003
-
Abstract
- Objective: Segmental varicose degeneration of the autogenous greater saphenous vein may limit its use in infrainguinal bypass surgery. Wrapping a PTFE prosthesis around dilated veins has emerged as an option to create externally reinforced vein bypasses. Results regarding graft patency and limb salvage were analyzed.<br />Methods: Between September 1995 and January 2001, 35 infrainguinal bypass operations in 33 patients were performed with greater saphenous veins exhibiting segmental varicose dilatation. Grafts were followed by duplex scan and retrospective analysis of graft patency and limb salvage was performed.<br />Results: One bypass prompted successful revision for early occlusion. Four bypasses required additional reintervention during follow-up. 48 months primary, primary assisted and secondary patency rates were 66%, 82% and 82%, respectively, with a limb salvage rate of 97%. Duplex scan failed to demonstrate stenosis of the reinforced vein segments or aneurysmal degeneration of the residual vein.<br />Conclusion: External reinforcement with a PTFE prosthesis allows the use of autogenous greater saphenous veins with varicose dilatation and enables the construction of all autogenous bypasses with promising graft patency and limb salvage.
- Subjects :
- Aged
Aged, 80 and over
Coated Materials, Biocompatible therapeutic use
Combined Modality Therapy
Female
Follow-Up Studies
Graft Occlusion, Vascular etiology
Graft Occlusion, Vascular mortality
Humans
Male
Middle Aged
Popliteal Vein diagnostic imaging
Popliteal Vein physiopathology
Popliteal Vein surgery
Radiography
Reoperation
Retrospective Studies
Saphenous Vein diagnostic imaging
Saphenous Vein physiopathology
Saphenous Vein surgery
Severity of Illness Index
Survival Analysis
Time
Time Factors
Treatment Outcome
Varicose Veins mortality
Varicose Veins physiopathology
Vascular Patency physiology
Blood Vessel Prosthesis Implantation instrumentation
Inguinal Canal surgery
Polytetrafluoroethylene therapeutic use
Varicose Veins therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0171-6425
- Volume :
- 51
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Thoracic and cardiovascular surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 12730812
- Full Text :
- https://doi.org/10.1055/s-2003-38985