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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1998 Febbraio;39(1):19-23

VASCULAR PAPERS 

 ORIGINAL ARTICLES

Tibioperoneal ­bypass ­for pop­li­teal arte­ri­al occlu­sion

Sugawara Y., Sato O., Miyata T., Kimura H., Namba T., Makuuchi M.

From ­the II Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Objective. To clar­i­fy ­the clin­i­cal fea­tures of chron­ic arte­ri­al occlu­sive dis­ease in ­which ­the ­main ­lesion ­occurs in ­the pop­li­teal ­artery (­OPA).
Experimental ­design. This ­was a ret­ro­spec­tive ­study ­with a fol­low-up of 1 to 163 ­months.
Setting. A depart­ment of sur­gery in a uni­ver­sity hos­pi­tal.
Patients. Fifty-­six ­patient ­who under­went tibi­o­per­o­neal bypass­es: 31 ­patients ­with ­OPA, ­and 25 ­with an exten­sive occlu­sive ­lesion ­from ­the femoral to pop­li­teal ­artery (­OFPA).
Intervention. All bypass­es ­were per­formed ­using ­reversed saph­e­nous ­veins ­under tur­ni­quet ische­mia.
Measurements. The back­ground of ­the ­patients ­and ­the sur­gi­cal ­results, includ­ing ­long-­term paten­cy ­and post­op­er­a­tive arte­ri­o­graph­ic find­ings.
Results. Buerger’s dis­ease ­occurred ­most com­mon­ly in ­the ­OPA ­group (49%) ­and arte­rio­scle­ro­sis oblit­e­rans ­occurred ­most com­mon­ly in ­the ­OFPA ­group (64%). The 3-­year pri­mary ­and sec­on­dary cumu­la­tive paten­cy ­rates of ­the ­grafts ­for ­OPA ­were 72% ­and 85% respec­tive­ly, ­and ­were com­par­able ­with ­those of ­OFPA. Arteriographic anal­y­ses car­ried ­out in ­the fol­low-up peri­od ­revealed no occlu­sive pro­gres­sion in ­the ­inflow ­artery.
Conclusions. Popliteal-dis­tal ­bypass is a reli­able pro­ce­dure in select­ed ­patients ­with ­OPA.

lingua: Inglese


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