[Value of interventional procedures in treatment of stenotic and occluded infra-inguinal vascular bypasses].

Abstract:

:In a prospective study, the results following PTA of 30 short stenoses > 70% in 17 infrainguinal arterial bypass grafts were examined. The stenoses were detected after a mean follow-up of 7.2 months by Duplex-ultrasound. The initial success rate after PTA was 100%. After an average time of 4.6 months recurrent graft stenoses were identified in 8 bypasses and 1 patient experienced graft thrombosis. Overall 8 of the 17 patients with stenotic grafts were treated by PTA alone during a mean follow-up of 11.7 months. Using life-table analysis, primary and assisted primary patency rates were each 100% at 1 month and 41 and 86% at 2 years. The efficacy of thrombolysis in 36 occluded grafts (graft age > 30 days) with clinical symptoms of incomplete ischaemia was analyzed retrospectively. After successful lysis in 61% (22/36), 15 grafts underwent additional procedures including PTA (10), vein patch angioplasty (4) and distal graft extension (1). Following successful initial graft salvage, primary cumulative patency and limb salvage rates were 45 and 72% at 1 month and 16 and 51% at 3 years. PTA of primary graft stenoses may be regarded as an acceptable initial therapeutic option, but has some limitations in providing sustained patency. Grafts initially salvaged with lysis do not have favourable short and long-term patency.

journal_name

Zentralbl Chir

authors

Wölfle KD,Mayer H,Tietze W,Bruijnen H,Mayer B,Loeprecht H

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

115-23

issue

2

eissn

0044-409X

issn

1438-9592

journal_volume

119

pub_type

杂志文章
  • [Postoperative follow-up and body weight after gastric banding].

    abstract:BACKGROUND:Since 1983 gastric banding has become a proven operative method, which reduces effectively excess weight in morbid obesity. Gastric banding has been popularized as a minimally invasive, completely reversible surgical treatment for morbid obesity. We report here our 4 year experiences of gastric banding with ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10650

    authors: Stroh C,Schramm H

    更新日期:2000-01-01 00:00:00

  • [Urologic treatment in phase I of the rehabilitation of paraplegics].

    abstract::Transverse spinal cord lesions entail severe secondary pathological alterations to the urinary tract, reducing longevity and quality of life. It is, therefore, urgently recommended to take a coherent approach to such patients throughout the GDR and to use for urine voiding intermittent catheterisation right from Phase...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Göcking K,Feidel A

    更新日期:1986-01-01 00:00:00

  • [Acute pancreatitis. Results of treatment with and without calcitonin (author's transl)].

    abstract::The role of Calcitonin as a secretory inhibition agent in the treatment of acute pancreatitis was studied by a randomized and prospective procedure. The recovery time of the main laboratory findings, the hospitalization duration, the complications and the mortality were not affected by Calcitonin. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Zayadin K,Kirsch A

    更新日期:1981-01-01 00:00:00

  • [Minimal invasive cannulated screw osteosynthesis of Bennett's fractures].

    abstract:PURPOSE OF THE STUDY:The current study presents a new technique and results of minimal invasive screw osteosynthesis in the treatment of Bennett's fractures and discusses its advantages and disadvantages. OPERATIVE TECHNIQUE:The Bennett's fragment has to be of sufficient size (at least one quarter of the articular sur...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40628

    authors: Meyer C,Hartmann B,Böhringer G,Horas U,Schnettler R

    更新日期:2003-06-01 00:00:00

  • [Disordered postoperative course. A retrospective analysis].

    abstract::A brief definition of the term of "relaparotomy" is followed by reference to some causes of erroneous or delayed decisionmaking on re-operation. The background of postoperative disorders is, basically, one and the same throughout acute surgery: haemorrhage, peritonitis, ileus. Relaparotomy was necessary in 0.6 per cen...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Günther K,Taubert E,Mehwald J

    更新日期:1988-01-01 00:00:00

  • [Laparoscopic surgery of rectal carcinoma].

    abstract::Laparoscopic colorectal procedures for treatment of benign disorders are increasingly appreciated. However, laparoscopic resections for rectal cancer are controversial. In the Department of Surgery at the Medical University of Lübeck 25 patients with rectal cancer were treated by laparoscopic procedures within four ye...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Bruch HP,Herold A,Schiedeck TH,Schwandner O

    更新日期:1997-01-01 00:00:00

  • [Pathophysiology of ileus].

    abstract:OBJECTIVE:To review the endogenous alterations generating critical illness in bowel obstruction. DATA SOURCES:Own experimental and clinical investigations and relevant articles published in international literature. DATA SYNTHESIS AND CONCLUSIONS:Large bowel obstruction is mostly confined to the colon. Passive dilata...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Roscher R,Lommel K

    更新日期:1998-01-01 00:00:00

  • [External fixation of the pelvis--indications, assembly and results].

    abstract::Stabilisation of pelvic ring fractures by means of external fixation has been found to provide certain advantages over internal fixation. Good results can be achieved, provided that optimum forms and techniques of assembly are used. The authors' indications are reported together with their assembly techniques and form...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fröhlich P,Barnbeck F

    更新日期:1987-01-01 00:00:00

  • [Internal drainage surgery in pancreatic pseudocysts].

    abstract::60 pancreatic pseudocysts are reported. 29 cystojejunostomies, 22 cystogastrostomies, 2 cystoduodenostomies and 7 external drainages were performed. Most favourable results could be recorded by cystojejunostomy. The total operative mortality was 8.3%, after cystojejunostomie 3.4%. Most dangerous complications were hae...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schröder H,Friedel R,Pfefferkorn S

    更新日期:1989-01-01 00:00:00

  • [Caval interruption operations for prevention of lung embolism].

    abstract::Interruption of the inferior vena cava by an umbrella-filter, clip or Green-field-filter has been performed in more than 400 patients during the past 14 years. Overall hospital mortality was 1% by clip application and 7% by Mobin-Uddin-umbrella. The indication for this method is limited to those patients suffering fro...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Alemany J,Teubner K,Montag H

    更新日期:1985-01-01 00:00:00

  • [Intrapancreatic accessory spleen: a differential diagnosis of pancreatic tumour].

    abstract:BACKGROUND:According to autoptic studies, accessory spleens may be found in 10-15% of the population and most of them are usually located at or near the splenic hilum. Only in 1-2% they are located in the pancreatic tail. We report a rare case of intrapancreatic accessory spleen which radiologically mimicked a tumor in...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960480

    authors: Meyer T,Maier M,Höller S,Fein M

    更新日期:2007-02-01 00:00:00

  • [Learning curve in laparoscopic rectum surgery].

    abstract::Laparoscopic colorectal surgery has become increasingly more common since first being described in a publication in 1990. Despite a multitude of studies about the learning curve in laparoscopic colon surgery, there are almost no such studies with regard to laparoscopic rectum surgery. This paper aims to describe a sur...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1262684

    authors: Böttger TC,Mohseni D,Beardi J,Rodehorst A

    更新日期:2011-06-01 00:00:00

  • Evaluation of toupet antireflux operation, by means of gastroesophageal scintiscan.

    abstract::The Toupet operation (270 degrees posterior fundoplication) has been performed in 99 patients suffering from symptoms of gastro-oesophageal reflux secondary to a hiatal hernia. To assess the effects of the Toupet antireflux procedure, we performed in 20 cases oesophageal manometry, intraoperatively and gastro-oesophag...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Vara-Thorbeck R,Morales OI,Guerrero JA,Ruiz-Morales M,Salvi M,Vara C

    更新日期:1989-01-01 00:00:00

  • [Bifurcated resection in the surgical treatment of central non-small cell T3 carcinoma].

    abstract::Reported in this paper is experience obtained since 1978 from surgical removal of the tracheal bifurcation in combination with pneumonectomy in 38 cases. Squamous cell carcinoma centrally growing from the upper lobe was recorded from 24 patients to whom 36 interventions had been applied for bronchial carcinoma. 50 per...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Weber J,Al-Zand K,Gräbner D,Beyer D

    更新日期:1986-01-01 00:00:00

  • [Significance of duodenogastric reflux in the pathogenesis of primary stomach cancer].

    abstract::Duodenogastric reflux has often been discussed as a causative factor in the pathogenesis of gastric carcinoma. The author's clinical examinations of 135 patients with primary cancer of the stomach revealed slight increase in duodenogastric reflux. Yet, apart from these findings, no correlations were found to exist bet...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Buchmann F,Bäumer F,Eilles C

    更新日期:1988-01-01 00:00:00

  • [Benign prostatic hyperplasia].

    abstract::The aetiological background of benign prostatic hyperplasia (BPH) is still obscure, though new information is steadily gained. In the context of pathomorphogenesis, major importance seems to be attributable to fibromuscular (stromal) tissue, since evidence has been produced to significant decline in glanduloparenchyma...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schönberger B

    更新日期:1986-01-01 00:00:00

  • [The Czech experience in peritonectomy and hyperthermic perioperative cytostatic lavage in the treatment of peritoneal malignancy].

    abstract:UNLABELLED:Peritoneal tumor dissemination has been considered as an incurable condition with fatal outcome. However cytoreductive surgery followed immediately by hyperthermic chemoperfusion has been described both for the treatment and prevention of locoregional cancer spread from various origins. This paper summarizes...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-818764

    authors: Antos F,Serclova Z,Gilbert Z,Skala M,Vitek P

    更新日期:2004-04-01 00:00:00

  • [Development and critical evaluation of pancreatic duct occlusion].

    abstract::The three original aims of pancreatic duct occlusion (PDO) were first the reduction of early complications after Whipple's operation in chronic pancreatitis and carcinoma as well as segmental pancreas transplantation, second to finish the inflammation in cases of chronic pancreatitis and third to protect the B-cell fu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Lorenz D,Waclawiczek H

    更新日期:1990-01-01 00:00:00

  • [Endoscopic biliary drainage in patients with pancreatic cancer].

    abstract::Obstructive jaundice is a common clinical sign in patients with pancreatic cancer. 52% of all patients with a potentially resectable pancreatic cancer suffer from painless obstructive jaundice. There are no prospective studies showing a beneficial effect of preoperative drainage in patients with resectable pancreatic ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40037

    authors: Kahl S,Zimmermann S,Pross M,Schulz HU,Malfertheiner P

    更新日期:2003-05-01 00:00:00

  • [Results of the surgical management of frontobasal injuries].

    abstract::The author reports about 183 patients with frontobasal injuries. 50 per cent of them were operated immediately because open injuries or intracranial complications. The other half was operated in an interval of 5 to 10 days after injury. The localisation of the frontobasal lesion, clinical results according to the Glas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Klötzer R,Meier U,Knopf W

    更新日期:1991-01-01 00:00:00

  • [Quality and quality assurance of teaching in surgery - recommendations from a workshop of the surgical cooperative for quality assurance].

    abstract::The shortage of surgeons in the operative disciplines field has in recent years further increased. The training of a surgeon and the required lifestyle combined with the work-life balance of the surgeons are perceived as being less attractive, so that young doctors after finishing medical school rarely decide for surg...

    journal_title:Zentralblatt fur Chirurgie

    pub_type:

    doi:10.1055/s-0029-1224764

    authors: Brauer RB,Harnoss JC,Lang J,Harnoss J,Raschke R,Flemming S,Obertacke U,Heidecke CD,Busemann A

    更新日期:2010-02-01 00:00:00

  • [Results of the surgical treatment of ankle joint fractures].

    abstract::Surgical treatment was applied to 74 cases of ankle joint fractures at the author's hospital, between 1979 and 1984. Follow-up checks were made on 59 patients, within one to seven years from surgery. Luxation fractures accounted for 39 per cent. The rates of wound edge necrosis and bone infection were three per cent e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Langenberg R

    更新日期:1986-01-01 00:00:00

  • [Improved survival rate of postoperative renal failure caused by high volume hemofiltration].

    abstract::Continuous arteriovenous hemofiltration is the treatment of choice for postoperative acute renal failure (ARF). The clinical value of two different treatment modalities (spontaneous vs. pump-driven hemofiltration PDHF) were compared in two groups of patients with postoperative ARF. There were no differences in both gr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Inthorn D,Storck M,Hartl WH,Zimmerer E

    更新日期:1991-01-01 00:00:00

  • [Advances, limitations and prospects of oncological liver surgery].

    abstract::Modern oncological liver surgery continues to push the limits of resectability by incorporating an array of new developments in the fields of surgery, anaesthesia and intensive care, oncology, radiology and transplantation medicine. New criteria for determining the resectability of primary and secondary liver tumours ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1350815

    authors: Schmidt F,Senninger N,Wolters HH,Mees ST

    更新日期:2014-04-01 00:00:00

  • [Results of surgically treated transcondylar comminuted fractures of the elbow joint in adults].

    abstract::Follow-up results of 39 patients surgically treated for elbow fractures according to the principles of the Swiss AO could be classified in 7 cases as very good, 21 as good, 9 as moderate and 2 as poor. Conditions for optimal results are early restoration and early mobilization of the elbow joint. Even in old fractures...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ansorge D

    更新日期:1982-01-01 00:00:00

  • [The Whipple partial duodenopancreatectomy--its value in the treatment of chronic pancreatitis].

    abstract::The surgical treatment of chronic pancreatitis is indicated only in the complicated disease. The aim is mainly the treatment of pain, of mechanical obstacles and to exclude suspicion of cancer. Between October 1972 and January 1993 713 patients with chronic pancreatitis were treated at the Surgical University Hospital...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Saeger HD,Schwall G,Trede M

    更新日期:1995-01-01 00:00:00

  • [Intraabdominal cystic lymphangioma in childhood. Report of 2 cases].

    abstract::Intraabdominal cystic lymphangiomas are rare tumor-like lesions, predominantly found in the pediatric age group, but also in juveniles or young adults. Lymphangiomas are always benign and do not recur after complete excision. In this paper we report on two 4-year old children with a history of abdominal discomfort due...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Witzel K,Kronsbein H,Pleser M,Hunfeld H,Rumpf KD

    更新日期:1999-01-01 00:00:00

  • [Closing the resection surface in left pancreatic resection with the surgical stapler].

    abstract::In the present paper a technique is demonstrated wherein the closure of the pancreatic remnant following left pancreatectomy with absorbable staples was performed. The good results with minimal complications recommend this method. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fuchs M,Köhler H,Schafmayer A,Peiper HJ

    更新日期:1992-01-01 00:00:00

  • [Laparoscopic-assisted mobilisation and resection of a sacrococcygeal teratoma Altman type III].

    abstract::Objective This video is a step-by-step illustration of the laparoscopic-assisted mobilisation and resection of a sacrococcygeal teratoma Altman type III. Indication Laparoscopic supralevatory tumour mobilisation is an established method in selected centres and can be the initial step in approaching sacrococcygeal tera...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-100015

    authors: Gödeke J,Engel V,Münsterer O

    更新日期:2017-06-01 00:00:00

  • [Changes in therapeutic principles in fractures of the extremities with severe soft tissue injuries exemplified by tibial fracture].

    abstract::Functional results after open fractures have been improved during the last decades. Especially the rates of amputation and chronic osteitis after open tibial fractures have been reduced from 30% to less than 5%. The initial management of this type of fracture includes reconstruction of the perfusion of the involved ve...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Dávid A,Ostermann PA,Möllenhoff G,Hebebrand D,Muhr G

    更新日期:1997-01-01 00:00:00