Revision of the proximal aortic anastomosis after aortic bifurcation surgery
The implantation of an aortic bifurcation graft (ABG) for treatment of occlusive (OD) and aneurysmal (AD) aortoiliac disease is a standard technique with good long-term results and a relatively low incidence of complications. In a retrospective review of our patients from 1964 to 1993 only 36/1520 p...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
1994
|
| In: |
European journal of vascular surgery
Year: 1994, Volume: 8, Issue: 6, Pages: 735-740 |
| ISSN: | 1876-472X |
| DOI: | 10.1016/S0950-821X(05)80655-3 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S0950-821X(05)80655-3 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0950821X05806553 
|
| Author Notes: | Th. W. Kraus, B. Paetz, Th. Hupp, J.R. Allenberg |
| Summary: | The implantation of an aortic bifurcation graft (ABG) for treatment of occlusive (OD) and aneurysmal (AD) aortoiliac disease is a standard technique with good long-term results and a relatively low incidence of complications. In a retrospective review of our patients from 1964 to 1993 only 36/1520 patients were identified who required reoperation at the proximal aortic anastomosis after ABG. Indications were graft occlusion (15/36) and graft stenoses (2/36), refractory to graft thrombectomy, proximal aortic anastomotic aneurysms (11/36) or graft infection (8/36). Graft occlusion or stenosis most frequently led to aortic reoperation in the OD-group (53.5%), recurrent aneurysmal disease (37.5%) and graft infection (37.5%) were the dominant indications in the AD-group. Mean time interval to reoperation was shorter in cases of graft infection (35 ± 33 months) as compared with graft stenosis (66 ±58 months), graft occlusion (86 ± 49 months) or aortic anastomotic aneurysms (152 ± 90 months). Of the reoperations, 92% were done electively, 8% as emergency procedures. The perioperative course was uneventful in 67% of patients. Overall mortality rate after elective revisional surgery was 3% but reached 66% in emergencies. Postoperative morbidity and mortality was related to preoperative morbidity and the urgency of surgery, not with the mode of aortic intervention nor indication. |
|---|---|
| Item Description: | Elektronische Reproduktion der Druck-Ausgabe 15. Mai 2005 Gesehen am 18.09.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1876-472X |
| DOI: | 10.1016/S0950-821X(05)80655-3 |