Chosing the kind of anastomoses in aortobifemoral graft

  • A. Ruciński
  • Z. Szydłowski
  • A. Dorobisz
  • P. Szyber
  • Z. Rybak
  • M. Wojtanowski
  • A. Wołyniec
  • J. Skóra
Conference paper
Part of the Berliner Gefäßchirurgische Reihe book series (BERLINGEFÄß, volume 4)

Summary

The aim of this study was to clarify indications for different types of anastomoses in different clinical situations. In 656 patients who underwent aortobifemoral graft implantation the following examinations were performed: angiography, intraoperative blood-flow measurement, the evaluation of back-flow pressure from femoral arteries, the general assessment of intraoperative conditions. According to the result of the examinations mentioned above, different types of anastomoses were done. It can be concluded that aortobifemoral graft implantation should not be a mutinously performed operation, but in choosing the most suitable type of anastomoses many factors should be carefuly analyzed.

Zusammenfassung

Das Ziel dieser Studie war die Darlegung der Indikation für verschiedene Anastomo-sentypen bei unterschiedlichen klinischen Situationen. Bei 656 Patienten, bei denen eine aortobifemorale Prothesenimplantation vorgenommen wurde, wurden folgende Untersuchungen durchgeführt: Angiographie, intraoperative Flußmessung, Beurteilung des Rückflusses aus den Femoralarterien und eine generelle Bewertung der intraoperativen Bedingungen. In Abhängigkeit des Ergebnisses dieser Untersuchungen wurden unterschiedliche Anastomosentypen verwendet. Daraus kann der Schluß gezogen werden, daß die Implantation aortobifemoraler Prothesen nicht als Routinemaßnahme vorgenommen werden sollte, sondern der geeignetste Anasto-mosentyp sollte aufgrund einer sorgfältigen Analyse gewählt werden.

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Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1992

Authors and Affiliations

  • A. Ruciński
    • 1
  • Z. Szydłowski
    • 1
  • A. Dorobisz
    • 1
  • P. Szyber
    • 1
  • Z. Rybak
    • 1
  • M. Wojtanowski
    • 1
  • A. Wołyniec
    • 1
  • J. Skóra
    • 1
  1. 1.Department of Vascular SurgeryMedical University of WrocławWroclawPoland

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