Autologous Saphenous Vein Panel Graft for Vascular Reconstruction
| Autor: | Adil Polat, Gürkan Kömürcü, Serkan Ketenciler, Kamil Boyacıoğlu, İlknur Akdemir |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Additional Surgical Procedure Computed Tomography Angiography 030204 cardiovascular system & hematology Blood Vessel Prosthesis Implantation Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Vascular Patency Saphenous Vein Autografts Vein Aged Retrospective Studies Computed tomography angiography medicine.diagnostic_test business.industry Arteries General Medicine Middle Aged Plastic Surgery Procedures Vascular System Injuries medicine.disease Aneurysm Prosthesis Failure Surgery Pulmonary embolism Stenosis Venous thrombosis Treatment Outcome medicine.anatomical_structure Lower Extremity Female Vascular Grafting medicine.symptom Cardiology and Cardiovascular Medicine Claudication business 030217 neurology & neurosurgery |
| Zdroj: | Annals of Vascular Surgery. 53:117-122 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2018.05.037 |
| Popis: | Background This study aims to present early and midterm results of vascular reconstruction with saphenous vein panel graft. Methods Between August 2014 and August 2017, 11 saphenous vein panel grafts were used for vascular reconstruction in 10 patients. Patient data including age, gender, etiology of the vascular pathology, concomitant injury, site of injury, surgical procedure, additional surgical procedure, and hemodynamic status were retrospectively collected and analyzed. The Kaplan-Meier method was used to calculate the reintervention and patency rates. Results Mean duration of follow-up was 16.5 ± 13.2 months (ranged, 2–39 months). The freedom from reintervention for any reason was 82% at 1 and 2 years. There was no evidence of arterial claudication or venous insufficiency in all patients. The primary patency rates were 82% at 1 and 2 years. There was no mortality, deep venous thrombosis, pulmonary embolism, graft thrombosis, anastomotic stenosis, diameter discrepancy, and aneurysm formation during late follow-up. Conclusions The autologous saphenous panel vein graft enables the surgeon to prepare suitable conduits easily with an appropriate diameter and length for vascular reconstruction. Although long-term results are unknown, this technique provides high patency rates in midterm follow-up, resistance to infection, and low reintervention rates. In conclusion, autologous saphenous vein panel grafts may well be preferred in various vascular disorders that require surgical reconstruction. |
| Databáze: | OpenAIRE |
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