| |  Online-Ressource |
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| Verfasst von: | Demirel, Serdar [VerfasserIn]  |
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| | Winter, Christof [VerfasserIn] |
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| | Bruijnen, Hans [VerfasserIn] |
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| | Böckler, Dittmar [VerfasserIn] |
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| | Attigah, Nicolas [VerfasserIn] |
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| | Gamstätter, Gerhard [VerfasserIn] |
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| Titel: | Long-term results of distal-origin bypass after prior femoro-popliteal angioplasty |
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| Verf.angabe: | Serdar Demirel, Christof Winter, Hans Bruijnen, Dittmar Böckler, Nicolas Attigah, Gerhard Gamstätter |
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| E-Jahr: | 2010 |
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| Jahr: | 28 October 2010 |
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| Umfang: | 10 S. |
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| Fussnoten: | Gesehen am 05.01.2024 |
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| Titel Quelle: | Enthalten in: Annals of vascular surgery |
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| Ort Quelle: | Orlando, Fla. : Elsevier, 1986 |
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| Jahr Quelle: | 2010 |
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| Band/Heft Quelle: | 24(2010), 8 vom: Nov., Seite 1024-1033 |
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| ISSN Quelle: | 1615-5947 |
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| Abstract: | BACKGROUND: To investigate whether prior staged percutaneous transluminal angioplasty of the femoro-popliteal segment influences long-term results of distal bypass grafts. - METHODS: Between October 1987 and January 2009, 261 distal origin grafts for critical limb ischemia were performed at a single institution. A total of 223 grafts had angiographic no inflow lesions (-PA-group). Additionally, 38 grafts were performed staged within 30 days after percutaneous femoro-popliteal angioplasty (+PA-group) because of 28 TASC A (73%) and 10 TASC B (27%) lesions. Postoperative graft surveillance was performed at 3, 6, 12, and 18 months, then annually thereafter. Treatment groups were compared with Kaplan-Meier analysis. - RESULTS: Follow-up ranged from 1 to 198 months (median, 34 months). The 5-year primary patency was 73% for the +PA-group and 62% for the -PA-group (p = 0.20). Assisted primary patency for the +PA-group at 5 years was 80% and for the -PA-group was 70% (p = 0.17). The corresponding secondary patency at 5 years was 84% for the +PA-group and 71% for the -PA-group (p = 0.12), respectively. Limb salvage and amputation free survival at 5 years were 84% and 46% for the +PA-group, and 81% and 37% for the -PA-group, respectively (p = 0.57, 0.92). Bypass-threatening stenosis of the inflow-vessel was detected for four (10.5%) cases in the +PA-group and for 21 (8%) in the -PA-group. - CONCLUSION: Long-term results of distal origin grafts performed after femoro-popliteal angioplasty because of TASC A and B lesions are comparable with those observed in distal origin grafts without proximal stenosis. Distal origin bypass grafting is not compromised by prior endovascular treatment of the inflow-vessel. |
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| DOI: | doi:10.1016/j.avsg.2010.06.002 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.avsg.2010.06.002 |
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| | DOI: https://doi.org/10.1016/j.avsg.2010.06.002 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Aged |
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| | Aged, 80 and over |
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| | Amputation, Surgical |
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| | Angioplasty, Balloon |
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| | Arterial Occlusive Diseases |
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| | Blood Vessel Prosthesis Implantation |
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| | Constriction, Pathologic |
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| | Female |
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| | Femoral Artery |
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| | Germany |
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| | Graft Occlusion, Vascular |
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| | Humans |
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| | Ischemia |
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| | Kaplan-Meier Estimate |
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| | Limb Salvage |
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| | Male |
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| | Middle Aged |
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| | Popliteal Artery |
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| | Registries |
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| | Reoperation |
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| | Retrospective Studies |
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| | Risk Assessment |
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| | Risk Factors |
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| | Saphenous Vein |
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| | Time Factors |
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| | Treatment Outcome |
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| | Vascular Grafting |
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| | Vascular Patency |
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| K10plus-PPN: | 187736973X |
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| Verknüpfungen: | → Zeitschrift |
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Long-term results of distal-origin bypass after prior femoro-popliteal angioplasty / Demirel, Serdar [VerfasserIn]; 28 October 2010 (Online-Ressource)
