Verschluss der distalen Aorta. [Occlusion of the distal aorta]

Details

Serval ID
serval:BIB_34D1EF682F55
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Verschluss der distalen Aorta. [Occlusion of the distal aorta]
Journal
Helvetica Chirurgica Acta
Author(s)
Genoni  M., von Segesser  L. K., Laske  A., Carrel  T., Schonbeck  M., Niederhauser  U., Vogt  P., Turina  M.
ISSN
0018-0181
Publication state
Published
Issued date
07/1994
Volume
60
Number
5
Pages
723-8
Notes
English Abstract
Journal Article --- Old month value: Jul
Abstract
Between 1984 and 1992, 79 patients were operated for occlusion of the infrarenal abdominal aorta. 12/79 (15%) of the patients underwent emergency procedure for an acute Leriche syndrome. 67/79 (85%) of the patients with a chronic occlusion were treated electively. The surgical management includes in our series in 57/79 (72%) cases aortoiliac or aortofemoral prosthetic bypass, in 11/79 (14%) cases aortoiliac endarterectomy, in 6/79 (8%) cases embolectomy and in 5/79 (6%) extraanatomical axillofemoral bypass. For chronic total occlusion of the aorta the most common procedure was prosthetic bypass in anatomical position. For emergency cases embolectomy was performed in 42%. Early morbidity rate was 26% (21/79). The most frequent complications were thromboembolic events in 7 patients, myocardial infarction in 4 patients and renal insufficiency in 4 cases. The 30-day mortality 2.5% (2/79); the cause in both cases myocardial infarction. For atherosclerotic occlusive disease of the infrarenal abdominal aorta the prosthetic bypass is the first-choice surgical procedure. For embolic occlusions and for risk patients other less burdening procedures are available.
Keywords
Adult Aged Aged, 80 and over Arteriosclerosis/mortality/*surgery Blood Vessel Prosthesis Cause of Death Embolectomy Endarterectomy Female Humans Ischemia/mortality/surgery Leg/blood supply Leriche Syndrome/mortality/*surgery Male Middle Aged Survival Rate Thrombosis/mortality/*surgery
Pubmed
Web of science
Create date
14/02/2008 14:18
Last modification date
20/08/2019 13:21
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