Renal Artery Revascularization with Polytetrafluoroethylene Bypass Graft
| Autor: | Jean-Michel Cormier, Bernard Artru, Claude Laurian, Jean-Marc Fichelle, Frédéric Gigou, Jean-Baptiste Ricco |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Respiratory complications medicine.medical_treatment Group ii Anastomosis Renal Artery Obstruction Revascularization chemistry.chemical_compound Postoperative Complications Aneurysm Recurrence medicine.artery medicine Humans Aorta Abdominal Renal artery Polytetrafluoroethylene Aged Aged 80 and over business.industry Thrombosis General Medicine Middle Aged medicine.disease Aortic Aneurysm Blood Vessel Prosthesis Surgery chemistry Female Radiology Acute thrombosis Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Annals of Vascular Surgery. 4:471-478 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/s0890-5096(07)60073-9 |
| Popis: | Between January 1979 and December 1986, a total of 74 renal revascularizations were performed in 68 patients using the reinforced expanded polytetrafluoroethylene prosthetic graft. These 74 revascularizations represent 29% of 251 surgical renal revascularizations performed during the same period of time. Eight patients had a total of nine revascularizations in the emergency setting (group I) for ruptured suprarenal aneurysm or acute thrombosis of the renal arteries. Only one patient survived and six years later, his anatomic and functional results are satisfactory. Sixty-five revascularizations were performed electively in 60 patients (group II). This group consisted of 19 renal revascularizations alone, and 46 combined aortic and renal revascularizations. One patient died of respiratory complications two months after operation after his thoracoabdominal aneurysm was cured. Early repeat postoperative arteriography showed that six reconstructions had occluded (three major renal arteries, three polar arteries). One patient was lost to follow-up. The remaining patients were followed for a mean of 41 months. Follow-up arteriograms obtained during 1987 showed that there were two late occlusions and two distal anastomotic stenoses. Actuarial patency was 85 +/- 10% at 72 months. Polytetrafluoroethylene prosthetic grafts constitute a reliable material for renal revascularization and combined aortic and renal reconstruction in certain anatomic conditions. |
| Databáze: | OpenAIRE |
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