Late patency of long saphenous vein bypass grafts to the anterior and posterior cerebral circulation

Détails

ID Serval
serval:BIB_614B783DF124
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Late patency of long saphenous vein bypass grafts to the anterior and posterior cerebral circulation
Périodique
Journal of Neurosurgery
Auteur(s)
Regli  L., Piepgras  D. G., Hansen  K. K.
ISSN
0022-3085 (Print)
Statut éditorial
Publié
Date de publication
11/1995
Volume
83
Numéro
5
Pages
806-11
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Nov
Résumé
To evaluate the late results and the natural history of long saphenous vein bypass grafts (SVGs) between the extracranial and intracranial circulation, the authors retrospectively analyzed 202 consecutive SVGs performed at the Mayo Clinic from 1979 to 1992. The distal anastomosis was to the vertebrobasilar system in 98 patients and to the carotid artery system in 103 patients. Surgical indications were advanced cerebroocclusive disease in 63% (127 cases), giant aneurysm in 37% (74 cases), and neoplasm in one patient. In 125 patent SVGs follow-up information was obtained for longer than 1 year and in 23 patent SVGs it was over 10 years (maximum 13 years, median 6.5 years). Most of the graft failures (76%) occurred during the 1st year after surgery, with 42% of all graft failures found during the first 24 hours after operation. Late graft attrition occurred in only 10 patients (8%). Cumulative patency at 1 year was 86% +/- 3%, at 5 years 82% +/- 4%, and at 13 years 73% +/- 19%. Neurological worsening at the time of occlusion developed in 72% of patients with early occlusion, whereas 80% of patients with late graft occlusion had no new neurological symptoms. Long-term patency of SVGs for cerebral revascularization appears to be excellent, with an average failure rate of 1% to 1.5% per year following the 1st year after surgery. To minimize early graft thrombosis, meticulous attention must be paid to technical detail.
Mots-clé
Adolescent Adult Aged Aged, 80 and over Brain Ischemia/physiopathology/surgery *Cerebral Revascularization Child Child, Preschool Female Follow-Up Studies Graft Occlusion, Vascular/physiopathology Humans Intracranial Aneurysm/physiopathology/surgery Life Tables Male Middle Aged Retrospective Studies Risk Factors Saphenous Vein/physiopathology/*transplantation *Vascular Patency
Pubmed
Web of science
Création de la notice
25/01/2008 13:10
Dernière modification de la notice
20/08/2019 14:18
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