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Die kurze Femoralisrekonstruktion bei kritischer Ischämie — Sinn und Unsinn

  • M. Haug
  • F. Frizen
Conference paper
Part of the Berliner Gefäßchirurgische Reihe book series (BERLINGEFÄß, volume 5)

Summary

Of the great number of patients with critical leg ischemia there are few who have a short distal femoral occlusion as the only reconstructible vessel. Catheter technique should not be used because of irreversible damage by possible peripheral embolization, as shown in one case. A surgical alternative is presented and used in 20 cases: the short-vein interposition graft with a strongly supragenual approach. This type of reconstruction works well despite high peripheral resistance. There were only two early reocclusions. However, clinical effectivity remains poor according to the poor peripheral vasculature in critical ischemia. Major amputations (20 %) were therefore required in all cases of foot gangrene. In such situations the short supragenual reconstruction is a useless measure.

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Literatur

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    Ascer E (1989) Short Vein Grafts: A Superior Option for Arterial Reconstructions to Poor or Compromised Outflow Tracts? In Veith F (ed) Current Critical Problems in Vascular Surgery, vol 1. Quality Medical Publishing Inc., St. Louis, Missouri, p 40Google Scholar
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    Denck H, Hold M, Teiner G (1991) Der palliative femoropopliteale Bypass auf Abschnitt I. Angio 13: 137–144Google Scholar
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    Roth FJ, Rieser R, Scheffler A (1990) Lokale Lysetherapie bei akuter arterieller Thrombose. Langenbecks Arch Chir (Suppl II): 427Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1993

Authors and Affiliations

  • M. Haug
    • 1
  • F. Frizen
    • 1
  1. 1.Abteilung für GefäßchirurgieKlinikum RemscheidRemscheidGermany

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