Abstract:
INTRODUCTION:Despite advances of endovascular interventions, bypass surgery remains the gold standard for treatment of long and complex arterial occlusions in the lower limb. Autologous vein is regarded superior to other options. As the graft of first choice, the great saphenous vein (GSV) is often not available due to previous bypass, stripping or poor quality. Other options like arm veins (AV) are important alternatives. As forearm portions of AVs are often unusable, a graft created from the upper arm basilic and cephalic veins provides a valuable alternative. PATIENTS AND METHODS:We analyzed consecutive patients treated at an academic tertiary referral center between 01/1998 and 07/2018 using arm veins as the main peripheral bypass graft. Study endpoints were primary patency, secondary patency, limb salvage and survival. RESULTS:In the observed time period 2702 bypass procedures were performed at our institution for below-knee arterial reconstructions. Vein grafts used included the ipsilateral GSV (iGSV; n = 1937/71.7%), contralateral GSV (cGSV; 192/7.1%), small saphenous vein (SSV; 133/4.9%), prosthetic conduits (61/2.3%) and different configurations of AV (379/14%). In the majority of patients receiving AV grafts a complete continuous cephalic or basilic vein (CAV) was used (n = 292/77%). If it was not possible to use major parts of these 2 veins, either spliced arm vein grafts (SAV) (42/11%) or an upper arm basilic-cephalic loop graft (45/12%) were used. Median follow-up was 27 (interquartile range: 8-50) months. After 3 years secondary patency (CAV: 85%; SAV: 62%; loop: 66%; p = 0.125) and limb salvage rates (CAV: 79%, SAV: 68%; loop: 79%; p = 0.346) were similar between the 3 bypass options. CONCLUSION:The encouraging results of alternative AV configurations highlight their value in case the basilic or cephalic veins are not useable in continuity. Especially for infragenual redo-bypass procedures, these techniques should be considered to offer patients durable revascularization options.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Enzmann FK,Metzger P,Martin JES,Dabernig W,Akhavan F,Hölzenbein T,Nierlich Pdoi
10.1177/1538574420980610subject
Has Abstractpub_date
2021-01-22 00:00:00pages
1538574420980610eissn
1538-5744issn
1938-9116pub_type
杂志文章abstract:PURPOSE:Aim of this study is to present our initial experience with the use of the retrograde popliteal artery access in patients with certain anatomic lesions. METHODS:Between September 2008 and September 2010, 24 patients underwent a transpopliteal retrograde subintimal recanalization. Instead of its usage when ante...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411414308
更新日期:2011-10-01 00:00:00
abstract::Iliac artery tortuosity can be a limiting factor in treating abdominal aortic aneurysms by endovascular means. In this case, a 6F catheter guiding sheath was used to allow tracking of the superstiff wire to straighten the iliac artery on the left. This allowed for tracking of the larger sheath so that a bifurcated dev...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574410369569
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abstract:OBJECTIVES:To review immediate results, patency rates, hemodynamic success, and incidence of concomitant procedures with external iliac artery stenting (EIAS). METHODS:Demographic features, category and clinical grade, Trans-Atlantic Inter-Society Consensus II classification lesion type, pre- and postprocedure ankle-b...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412442400
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abstract::Arterio-hepatic venous fistula (AHVF) is an exceedingly rare phenomenon compared to arterio-portal venous fistula with only 8 cases reported in world literature. Many listed causes can be attributed to the development of there are no reported cases of AHVF following a core-needle biopsy. We report a case of 38 year-ol...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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abstract::In this article, a novel technique for the treatment of ruptured abdominal aortic aneurysm secondary to proximal type 1 endoleak as a result of progressive neck dilatation after endovascular aneurysm repair is reported. A 74-year-old man with multiple comorbidities including severe ischemic heart disease, congestive c...
journal_title:Vascular and endovascular surgery
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abstract::Vascular Ehlers-Danlos syndrome (vEDS) is a life-threatening connective tissue disorder due to its high tendency of arterial and organ rupture. Pulmonary complications in vEDS are rare. We present a young male patient with vEDS who developed severe pulmonary complications and severe rupture of the iliac artery at diff...
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abstract::This study evaluated the efficacy of an exercise program after arterial bypass surgery. Patients undergoing bypass surgery were randomized to a control group (group I), with standard preoperative and postoperative care, or the intervention group (group II) with a supervised exercise program of twice-weekly treadmill a...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,随机对照试验
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abstract::Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and renal insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case of a 68-year-old male who presented with a r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
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abstract::Strategies developed by vascular surgeons to establish an endovascular program and the 5-year results of the program are reported. In 1994, the operating room was chosen as the site for the endovascular suite. With this strategy, vascular surgeons would be able to 1) govern appropriate indications for intervention, 2)...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
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journal_title:Vascular and endovascular surgery
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abstract::Arteritis and mycotic aneurysms have been well described for more than 100 years. The authors report a case of bacterial arteritis that presented with pneumatosis of the aortic wall and that evolved over 1 week into an infected abdominal aortic aneurysm. This case documents the rapid progression from arteritis to myco...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574406298516
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abstract::Intraoperative infrainguinal autologous vein graft stenoses are common, and some authors advise revision of these stenoses. But the natural history of these lesions is not clear. This study was undertaken to determine the natural history of duplex-detected intraoperative stenoses with a nonrevision policy. Intraoperat...
journal_title:Vascular and endovascular surgery
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abstract::Acute arterial disruptions of the thoracic aorta are rare and often lethal. They are most often due to blunt trauma and occur most commonly just distal to the left subclavian artery origin in the setting of multisystem injuries. The very proximal nature of the lesion in survivors makes open surgical repair hazardous, ...
journal_title:Vascular and endovascular surgery
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更新日期:2004-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章,评审
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abstract::Iliac vein aneurysms are an exceedingly uncommon problem faced by vascular specialists. We report a case of a healthy 32 year old woman who had large asymptomatic bilateral external iliac vein aneurysms found incidentally on CT scan. They may present with thromboembolism, spontaneous rupture, or they may be asymptomat...
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pub_type: 杂志文章,评审
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journal_title:Vascular and endovascular surgery
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更新日期:2020-08-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 信件
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更新日期:2016-01-01 00:00:00
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更新日期:2012-02-01 00:00:00
abstract:PURPOSE:The snorkel technique is commonly used to preserve renal arteries in juxta renal aneurysm during endovascular repair. Herein, we present a patient who underwent bifurcated endograft implantation with snorkel technique for inferior mesenteric artery (IMA) in order to preserve the major source of bowel circulatio...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
abstract::Leiomyosarcoma of the inferior vena cava (IVC) is a rare tumor of mesenchymal origin, occurring most frequently in middle-aged women. Insidious complaints delay diagnosis, prognosis is poor, and the only curative modality remains an aggressive surgical resection yielding clear margins of disease. Commonly, radical tum...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412460102
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The carotid sheath contains clinically important and vital anatomical neurogenic, vascular, and lymphatic structures that allow for a great variety of lesions. Vascular anomalies found in the carotid sheath are rarely reported and may be easily misdiagnosed as arterial aneurysms, neurogenic tumors, paragangl...
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更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:Cilostazol improves walking in patients with peripheral arterial disease (PAD). We hypothesized that cilostazol reduces diabetic complications in PAD patients. METHODS:Diabetic PAD patients were prospectively recruited to a randomized double-blinded, placebo-controlled trial, using cilostazol 100mg twice a ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2009-04-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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更新日期:2007-08-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,多中心研究
doi:10.1177/1538574409347397
更新日期:2010-01-01 00:00:00