Primary Open Stenting to Simplify Distal Anastomosis on Heavily Calcified Artery: The POSE Technique
| Autor: | Pierre Maitrias, I. Javerliat, M. Coggia, Oleg Rouditch-pergola, Raphaël Coscas, Olivier Goeau-Brissonniere |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Arterial Occlusive Diseases Endarterectomy 030204 cardiovascular system & hematology Anastomosis Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Blood vessel prosthesis medicine Humans 030212 general & internal medicine Distal anastomosis Arterial dissection business.industry Anastomosis Surgical General Medicine medicine.disease Thrombosis Blood Vessel Prosthesis Surgery medicine.anatomical_structure Stents Radiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Annals of Vascular Surgery. 30:336-339 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2015.07.023 |
| Popis: | Despite improvements in surgical techniques, performing distal anastomosis on a heavily calcified artery (HCA) remains technically challenging. Clamping lesions and arterial wall trauma while suturing can lead to immediate or delayed arterial dissection and thrombosis. These issues are generally overcome by performing an extensive search for supple arterial zones, using sutureless techniques with covered stent-grafts and/or stenting the anastomosis under fluoroscopic guidance after unclamping. We describe a technique intended to simplify open surgical procedures on HCA. It consists of primary open stenting followed by localized endarterectomy (namely, the primary open stenting followed by localized endarterectomy [POSE] technique) to secure a distal anastomosis on an HCA. So far, we have successfully used the POSE technique in 24 patients but the durability of the technique remains to be determined. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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