Abstract |
Analyzed herein are the outcomes of 1,079 reconstructions of the aortofemoral segment, performed for Leriche s syndrome using polytetrafluoroethylene grafts "Ecoflon" during the period from 1997 to 2012. Hospital lethality amounted to 3.1%, frequency of thromboses was 0.53% and that of amputations equalled 0.53%. The patients were followed up at terms varying from 6 to 180 months. Cumulative patency of the bypass grafts at 1 year amounted to 99.3±0.2%, at 5 years to 97.3±0.6%, at 10 year to 91.9±1.9%, and to 90.0±2.7% after 15 years. Primary patency amounted to 97.6±0.4%, 90.9±1.1%, 75.9±2.7% and 71.4±4.1%, respectively. Grafts infection occurred in 1.3% of cases (0.2% in the early, and 0.83% in the remote postoperative periods). False aneurysms of distal anastomoses were registered in 0.5% of cases. A total of 137 reoperations were performed (104 for graft thromboses, 9 for pseudoaneurysms of anastomoses, and 7 for graft infection). Seventeen operations were carried out for ischaemia relapse due to progression of the occluding process in patent grafts. The amputation rate amounted to 6.6%. Based on the obtained findings a conclusion is drawn that polytetrafluoroethylene grafts "Ecoflon" comply with the current standards of quality.
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Authors | A V Maksimov, M V Plotnikov, O F Galiullin |
Journal | Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery
(Angiol Sosud Khir)
Vol. 20
Issue 2
Pg. 168-73
( 2014)
ISSN: 1027-6661 [Print] Russia (Federation) |
PMID | 24961339
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Amputation, Surgical
(statistics & numerical data)
- Anastomosis, Surgical
(adverse effects, instrumentation, methods)
- Aneurysm, False
(etiology, physiopathology, surgery)
- Aorta, Abdominal
(surgery)
- Blood Vessel Prosthesis
(adverse effects, standards)
- Female
- Femoral Artery
(surgery)
- Graft Occlusion, Vascular
(etiology, physiopathology, surgery)
- Humans
- Ischemia
(physiopathology, surgery)
- Leriche Syndrome
(diagnosis, physiopathology, surgery)
- Male
- Middle Aged
- Polytetrafluoroethylene
(therapeutic use)
- Postoperative Complications
(classification, etiology, mortality, physiopathology, surgery)
- Recurrence
- Reoperation
(methods, statistics & numerical data)
- Retrospective Studies
- Survival Analysis
- Treatment Outcome
- Vascular Grafting
(adverse effects, instrumentation, methods)
- Vascular Patency
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