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
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
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