Composite venous allograft for femoro-pedal bypass grafting in critical limb ischaemia

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10376849" target="_blank" >RIV/00216208:11110/18:10376849 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00179906:_____/18:10376849 RIV/00064165:_____/18:10376849

Výsledek na webu

<a href="https://doi.org/10.1016/j.crvasa.2017.03.003" target="_blank" >https://doi.org/10.1016/j.crvasa.2017.03.003</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2017.03.003" target="_blank" >10.1016/j.crvasa.2017.03.003</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Composite venous allograft for femoro-pedal bypass grafting in critical limb ischaemia

Popis výsledku v původním jazyce

Background: We report a series of four patients with critical limb ischaemia and lack of autologous conduits, treated with composite (end-to-end anastomosis) allogenic fresh/ or cryopreserved saphenous vein bypass grafting. This technique may be necessary in case of femoro-pedal artery bypass grafting, which is an extreme situation if there is shortage in length or inadequate quality of the venous allograft. Such a long reconstruction requires two donor saphenous veins. Case report: Four patients were indicated for &quot;I-composite&apos;&apos; fresh venous allograft for femoro-pedal bypass grafting. One composite graft occluded 4 months postoperatively, one 21 months postoperatively, two other remained patent with median follow-up 23 months. No amputation was required in any of the patients during the follow-up. Conclusion: Midterm patency of the reconstruction may be satisfactory provided that the ABO compatibility, short cold ischaemia time of the graft, adequate immunosuppressive therapy and proper follow-up protocol of the patient after vascular allograft transplantation are observed. Surgeons should keep in mind possibility of this technique mainly in diabetic patients with critical limb ischaemia and occluded crural vessels.

Název v anglickém jazyce

Composite venous allograft for femoro-pedal bypass grafting in critical limb ischaemia

Popis výsledku anglicky

Background: We report a series of four patients with critical limb ischaemia and lack of autologous conduits, treated with composite (end-to-end anastomosis) allogenic fresh/ or cryopreserved saphenous vein bypass grafting. This technique may be necessary in case of femoro-pedal artery bypass grafting, which is an extreme situation if there is shortage in length or inadequate quality of the venous allograft. Such a long reconstruction requires two donor saphenous veins. Case report: Four patients were indicated for &quot;I-composite&apos;&apos; fresh venous allograft for femoro-pedal bypass grafting. One composite graft occluded 4 months postoperatively, one 21 months postoperatively, two other remained patent with median follow-up 23 months. No amputation was required in any of the patients during the follow-up. Conclusion: Midterm patency of the reconstruction may be satisfactory provided that the ABO compatibility, short cold ischaemia time of the graft, adequate immunosuppressive therapy and proper follow-up protocol of the patient after vascular allograft transplantation are observed. Surgeons should keep in mind possibility of this technique mainly in diabetic patients with critical limb ischaemia and occluded crural vessels.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Svazek periodika

60

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

4

Strana od-do

"E317"-"E320"

Kód UT WoS článku

000433252900015

EID výsledku v databázi Scopus

2-s2.0-85018285593