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[Indications and short and medium time results of crossover bypasses in the treatment of obstructive arteriopathies of the lower limbs]

BONARDELLI, Stefano;TIBERIO, Guido Alberto Massimo;CONIGLIO, Arianna;
1995-01-01
1995
Ateneo di appartenenza
LS7_6 Gene therapy, stem cell therapy, regenerative medicine
LS7_7 Surgery
ANNALI ITALIANI DI CHIRURGIA
2-s2.0-0029262230
Italiano
66
243
248
6
7668501
The authors evaluate the indications, the hemodynamical aspects, the short and medium term results over their track record of 49 crossover bypass (44 dacron and 5 PTFE grafts) performed between 1981 and 1993. Crossover bypass grafts were mainly inserted for unilateral iliac arterial disease in order to avoid aortic manipulation. This procedure was particularly selected when in presence of: young patients (< 60 years old), high surgical risk, poor run-off, high risk of prosthetic infection, thrombosis and/or infection of orthotopic grafts. 3 ilio-iliac, 27 iliofemoral, 18 femorofemoral and 1 femoropopliteal bypass have been performed. The postoperative resting pressure Index increase was highly significant in recipient limbs. There wasn't perioperative mortality; during the follow up (mean 24.4 months) no amputation of recipient limb was observed. 4 patients died of A.M.I. and 1 of neoplastic disease. Late cumulative patency rate was 81\% at 2 years and 67.3\% at 3 years. These values rise to 97.2\% and 86.1\% respectively when considering patients with "ideal" indication (excluding 7 patients operated on for complications of previous bypass grafts and 6 with extremely poor run-off). An accurate evaluation of the lesion topography and haemodynamic pattern of donor and recipient iliofemoral districts are stressed as key points for a correct surgical indication.
Adult; Age Factors; Aged; 80 and over; Angiography; Arterial Occlusive Diseases; Blood Vessel Prosthesis; Female; Femoral Artery; Follow-Up Studies; Humans; Iliac Artery; Leg; Male; Middle Aged; Polyethylene Terephthalates; Polytetrafluoroethylene; Time Factors
no
9
info:eu-repo/semantics/article
262
Bonardelli, Stefano; Tiberio, Guido Alberto Massimo; L., Cangiotti; Coniglio, Arianna; G., Pulcini; F., Nodari; C., Codignola; S. M., Giulini; G., Tib...espandi
1 Contributo su Rivista::1.1 Articolo in rivista
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1.1 Articolo in rivista
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11379/30890
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