[The extra-anatomic bypass in the therapy of aortoiliacal occlusive disease].

Abstract:

:The extra-anatomic bypass procedure is a well accepted alternative to direct aortoiliac reconstruction in high-risk patients or in cases of local inoperability. Between 1980 and 1987 74 patients (54 men, 20 women; mean age = 71 years, 43 to 90) underwent a total of 78 extra-anatomic reconstructions: 23 axillounifemoral, 15 axillobifemoral, 34 femoro-femoral cross-over, 4 axillo-popliteal and 2 femoro-popliteal cross-over bypasses. The operations were performed for severe claudication in 16, rest pain in 27 and gangrene in 26 patients; acute ischaemia was the indication in 6 and acute aortic aneurysms in 2 cases; in 1 patient there was an infected bifurcation graft. At a median follow-up time of 11 months the secondary patency rates for axillofemoral and femoro-femoral cross-over bypasses are predicted to be 75%, 71% and 62% after 1, 3 and 5 years, respectively (Kaplan-Meier estimate); on exclusion of vein and composite grafts, the patency rate increases to 79%, 75% and 65%, respectively. Femoro-femoral cross-over grafts seem to produce better results than axillounifemoral grafts (86% versus 77% at 3 years; logrank p greater than 0.05). The patency of the superficial femoral artery providing good run-off conditions, an appropriate technique for performing the anastomoses and adequate choice of graft material appear to improve the results.

journal_name

Wien Klin Wochenschr

authors

End A,Staudacher M,Donath P,Schreiner W

subject

Has Abstract

pub_date

1989-12-08 00:00:00

pages

832-6

issue

23

eissn

0043-5325

issn

1613-7671

journal_volume

101

pub_type

杂志文章
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  • Primary surgical repair of acute Achilles tendon rupture: comparative results of three surgical techniques.

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    doi:

    authors: Lingard W,Endl J

    更新日期:1979-10-12 00:00:00

  • [Investigations of the effect of midodrine on carbohydrate and fat metabolism with particular reference to the diabetic metabolic state (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Brändle J,Lageder H,Irsigler K

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  • Thromboembolic complications in a patient with heparin-induced thrombocytopenia (HIT) showing cross-reactivity to a low molecular weight heparin-treatment with Org 10172 (Lomoparan).

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    pub_type: 杂志文章

    doi:

    authors: Muhm M,Claeys L,Huk I,Koppensteiner R,Kyrle PA,Minar E,Stümpflen A,Ehringer H,Polterauer P

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  • [Malignant lymphomas of the thyroid gland].

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    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Heiss A,Kober F,Heinz R,Hollinsky C,Hermann M,Roschal A

    更新日期:1990-04-27 00:00:00

  • [Ulcerative colitis in childhood and its differential diagnosis].

    abstract::Ulcerative colitis occurs before the age of 15 years in 20% and before 20 years in 40% of all patients involved. The frequency of this disease in patients at the University Children's Hospital of Munich has clearly risen over the past years. In many patients we found characteristic differences in history, clinical pic...

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    pub_type: 杂志文章

    doi:

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  • 123I-tyrosine-(A14)-insulin: preparation and preliminary clinical studies.

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    pub_type: 杂志文章

    doi:

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    更新日期:1991-01-01 00:00:00

  • [Spermatological changes after ligature of the spermatic vein for idiopathic varicocele].

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    doi:

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    journal_title:Wiener klinische Wochenschrift

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    更新日期:1988-10-21 00:00:00

  • [Potassium-sparing effect of triamterene in a 3-component combination preparation for the therapy of hypertension].

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    doi:

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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    更新日期:1999-12-23 00:00:00

  • [Gastroplasty in the treatment of morbid obesity].

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Hell E

    更新日期:1990-11-23 00:00:00

  • [A new fluoroimmunoassay for quantitation of albumin and IgG in human aqueous humour. Comparison with radial immunodiffusion (author's transl)].

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    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Grabner G,Bettelheim H,Zehetbauer G,Dorda W

    更新日期:1981-01-09 00:00:00

  • [The metabolism of hydrocortisone, prednisolone and fluocortolone (author's transl)].

    abstract::The plasma levels of hydrocortisone, prednisolone and fluocortolone were studied in healthy males by a competitive protein-binding technique after separation by thin-layer chromatography. Cortisone showed a mean morning level of 440 nmol/l +/- 165 nmol/l and a half life of 4.8 hours. The half life of prednisolone was ...

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    doi:

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    更新日期:1981-11-13 00:00:00

  • Bronchogenic cyst of stomach: two cases report and review of the English literature.

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    pub_type: 杂志文章,评审

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    authors: Yang X,Guo K

    更新日期:2013-05-01 00:00:00

  • [Long-term results in children with classical galactosemia].

    abstract::Galactosemia due to uridyl-transferase deficiency was detected in 47 patients between 1/1/1967 and 31/12/1988. The condition took a fulminant course in 31 patients and 10 infants in this group died between the 6th and the 18th day of life. The determination of uridyl-transferase in 36 patients confirmed the diagnosis....

    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Scheibenreiter S,Knoll E,Widhalm K

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  • [Periprocedual management of vitamin K antagonist's with low molecular weight heparins during invasive procedures--Consensus of experts].

    abstract::Interruption of an ongoing therapy with vitamin K antagonists (VKAs) is necessary in almost all patients undergoing major surgery. The purpose of the following expert recommendations is to provide easy to use guidance for the periprocedural management of patients on VKAs based on current evidence from the literature. ...

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    authors: Watzke H,Metzler H,Weltermann A,Marschang P,Brodmann M,Lang W,Pabinger-Fasching I,Mahla E,Kozek-Langenecker S,Guschmann M,Huber K

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  • [Clinical relevance of extracorporeal shockwave lithotripsy (ESWL) in choledocholithiasis].

    abstract::Primary endoscopic removal of bile duct stones is an established method of treatment. However, the extraction of stones is impossible in about 10% of cases despite successful endoscopic papillotomy and manual lithotripsy. Over a period of two years extracorporeal shock-wave lithotripsy (ESWL) was performed in 32 patie...

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    doi:

    authors: Weiss W,Türk C,Brownstone E,Hruby W,Klose W,Kölbl C,Marberger M,Tuchmann A

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    doi:

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    更新日期:1980-05-09 00:00:00

  • [Basics of intestinal electrolyte transport (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Turnheim K

    更新日期:1980-10-10 00:00:00

  • [Bisphosphonate-associated osteonecrosis of the jaw].

    abstract::Intravenous application of bisphosphonates (BP) represents an established therapeutic strategy of tumor-associated bone metastasis and severe hypercalcemia. Patients can develop osteonecrosis of the jaw (ONJ) as a side effect of this therapy. The diagnosis of ONJ is based on three criteria: a) patients have been or ar...

    journal_title:Wiener klinische Wochenschrift

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    更新日期:2008-01-01 00:00:00

  • [Photoprotection by psoralen-UVA therapy: experimental and clinical results (author's transl)].

    abstract::Studies on minimum erythema doses, histological investigations and quantitative determination of DNA repair synthesis of epidermal cells revealed that a tan induced by the oral administration of 8-methoxy-psoralen (8-MOP) and subsequent UVA irradiation gives protection from the erythemogenic effects of sunlight, dimin...

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    pub_type: 杂志文章

    doi:

    authors: Gschnait F,Brenner W,Wolff K

    更新日期:1979-12-21 00:00:00

  • Prevalence of obesity and motor performance capabilities in Tyrolean preschool children.

    abstract:BACKGROUND:The childrens' world of movement has changed dramatically during the last decades. As a consequence motor performance decreases particularly in children affected by overweight and obesity. This study analyses the influence of the body mass index (BMI) on motor performance of pre-school children. METHODS:In ...

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    pub_type: 杂志文章

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  • [Infrarenal aortic aneurysm: results of surgical treatment].

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

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    authors: Bergmann H Jr,Kobinia G,Lederer B

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