The Role of Extra-Anatomic Bypass in the Surgical Treatment of Acute Abdominal Aortic Occlusion
| Autor: | Gokhan Ilhan, Sahin Bozok, Nebiye Tüfekçi, Sabri Ogullar, Şaban Ergene, Hizir Kazdal, Sedat Ozan Karakişi, Şeref Alp Küçüker |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Therapeutics Revascularization Magnetic resonance angiography Clinical Research medicine.artery medicine Abdominal aorta Extra-anatomic bypass medicine.diagnostic_test Extra anatomic bypass business.industry Aortic occlusion lcsh:RD1-811 Vascular surgery Surgery Amputation Cardiothoracic surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 48, Iss 3, Pp 187-192 (2015) The Korean Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2093-6516 |
| Popis: | Background: Aortic occlusion is rare catastophic pathology with high rates of mortality and severe morbidity. In this study, we aimed to share our experience in the management of aortic occlusion and to assess the outcomes of extra-anatomic bypass procedures. Methods: Eighteen patients who had undergone extra-anatomic bypass interventions in the cardiovascular surgery department of our tertiary care center between July 2009 and May 2013 were retrospectively evaluated. All patients were preoperatively assessed with angiograms (conventional, computed tomography, or magnetic resonance angiography) and Doppler ultrasonography. Operations consisted of bilateral femoral thromboembolectomy, axillo-bifemoral extra-anatomic bypass and femoropopliteal bypass and were performed on an emergency basis. Results: In all patients during early postoperative period successful revascularization outcomes were obtained; however, one of these operated patients died on the 10th postoperative due to multiorgan failure. The patients were followed up for a mean duration of 21.2±9.4 months (range, 6 to 36 months). Amputation was not warranted for any patient during postoperative follow-up.. Conclusion: To conclude, acute aortic occlusion is a rare but devastating event and is linked with substantial morbidity and mortality in spite of the recent advances in critical care and vascular surgery. Our results have shown that these hazardous outcomes may be minimized and better rates of graft patency may be achieved with extra-anatomic bypass techniques tailored according to the patient. |
| Databáze: | OpenAIRE |
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