A Clinical Survey of Aortobifemoral Bypass Using Two Inherently Different Graft Types

Cintora, Ismar; Pearce, David E.; Cannon, Jack A.

doi:10.1097/00000658-198811000-00014

Cited by 34 publications

(17 citation statements)

References 11 publications

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“…However, there is no exact consensus on the superiority of each treatment for aortobifemoral bypass. Cintora et al [10] did not find any statistical difference between PTFE and dacron graft in 312 aortofemoral cases, but they noted that the rate of complications were higher in the Dacron group. Abdominal adhesions are a dynamic, fibro-proliferative and inflammatory defense mechanism occurring as a response to trauma to the peritoneum.…”

Section: Discussionmentioning

confidence: 91%

A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

Çıtgez¹,

Yetkın²,

Uludağ³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Intestinal brids are most common cause of postoperative ileus although there are various cause of ileus after abdominal operation. On the other hand internal herniation is a rare cause of ileus after abdominal operations. Diagnosis of this hernias are important because of strangulation and necrosis of its content due to circulatory disturbance. In this case report, we publish a patient with ileus due to a greft which has been used in a previous abdominal surgery for abdominal aort aneurysm.Key Words: Aortobifemoral bypass; internal herniation/complication.Karın operasyonları sonrası çeşitli nedenler dolayısıyla olmakla beraber, en sık intestinal yapışıklıklara bağlı mekanik intestinal tıkanıklık (MİT) görülebilmektedir. İnternal herniasyonlar ise karın operasyonları sonrası nadir bir MİT nedenidir. Bu hernilerde içeriğin boğulma ve nekroza kadar giden dolaşım bozukluğu nedeniyle doğru tanı konabilmesi önemlidir. Bu yazıda, karın aort anevrizma ameliyatı sonrası kullanılan greftin neden olduğu internal herniasyon sonucu oluşan MİT sunuldu. Internal herniation is a rare cause of intestinal occlusion. Internal herniation, either congenital or acquired, is responsible for 0.6-5.8% of all intestinal occlusions. [1] Abdominal aortic aneurism (AAA) is a frequently encountered pathology with a prevalence of 1-4% of the entire population and is observed in 5-9% of men older than 65 years.[2] Currently, treatment for AAA is the interposition of vascular prosthesis by surgically reaching the aneurysmatic section of the aorta specifically through the abdomen.[2] Gastrointestinal complications such as ischemic colitis, mechanical ileus and aortoduodenal fistula incidence is 20% in the post-operative period and 16% to 67% of these complications may be mortal. [3] We aimed to present a case that presented to our emergency surgical clinic one week after the aortobifemoral by-pass surgery with a complaint of the ileus. CASE REPORTA 56-year-old male patient presented to our emergency unit with complaints of abdominal pain and inability to pass gas or move his bowels that was ongoing for 2 days. A midline incision was identified during his abdominal examination, and he explained that he had an operation for AAA in another healthcare institution one week prior. Abdominal distention was present and the patient described malodorous vomiting once before his presentation to the emergency unit. Bowel sounds were hypoactive. There was tenderness in the four abdominal quadrants. Formed stool was identified in the rectal touch. Air-fluid levels were observed on X-ray. Fecaloid content came out from the case after placement of the catheter for decompression. The computed tomography (CT) was unremarkable for the ileus. The patient was urgently admitted for surgery due to deterioration of his general condition and acute abdominal findings. Exploratory laparotomy revealed

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Section: Discussionmentioning

confidence: 91%

A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

Çıtgez¹,

Yetkın²,

Uludağ³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…The literature cites the following frequency of FAA after the aortofemoral bypass operation: 0.4% [85] [93], and 4.3 [94]%. Cintora and colleagues stated that the FAA incidence in the aortobifemoral position is 4% if a Dacron graft is used and just 1% if a PTFE graft is used, all types taken into account [95]. If the publishing dates are analyzed, the number of FAAs was larger at an early age owing to the poorer quality of the prosthesis and suture material.…”

Section: Incidencementioning

confidence: 99%

“…Sometimes patients can notice the existence of a pulsatile abdominal mass, back pain, or weight loss [97,98]. Unfortunately, many aortic FAAs present only with acute expansion, rupture, gastrointestinal bleeding, infection, or distal embolism [94,95,97]. They are, in that manner, similar to abdominal aortic aneurysms.…”

Section: Periodmentioning

confidence: 99%

False Aneurysms

Banzi¹,

Davidovi²,

Radmili³

et al. 2012

Aneurysm

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“…• geringerer intraoperativer Blutverlust [5], • eine hohe Rate oftener Prothesen bei der Nachuntersuchung (94% [15], 95% [24], 98% [26], 100% [5,19]), • einfache Thrombektomie bei Schenkelverschlfissen aufgrund der glatten inneren Oberfl~iche [25], • selteneres Auftreten von zentralen oder peripheren Nahtaneurysmata [5,19,26], • h6here postoperative brachiocrurale Indices [18].…”

Section: Diskussionunclassified

“…W~ihrend die oben genannten Studien teilweise nur geringe Fallzahlen aufweisen, liegen 2 Ver6ffenlichungen gr6geren Ausmal3es vor: eine prospektive randomisierte Untersuchung fiber 6 Jahre mit 165 Patienten [28] sowie eine retrospektive Studie fiber 4 Jahre mit 312 Patienten, wobei hinsichtlich der Verteilung der beiden Gruppen keine statistisch signifikanten Unterschiede vorlagen [5].…”

Section: Diskussionunclassified

PTFE-Prothesen bei infrarenalen Bauchaortenaneurysmata

Kaiser

Wenk

Link

et al. 1994

Langenbecks Arch Chir

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Postoperative dilatation of Dacron vascular grafts can lead to aneurysms and rupture of the prosthesis making it necessary to change the graft by operation. Therefore, 15 patients at Lübeck University Hospital underwent replacement of the aorta with PTFE prostheses due to infrarenal aortic aneurysms. Ultrasound measurements 2-12 months postoperatively revealed a dilatation of 11.6% concerning tubular grafts, 11.5% for the shafts and 14.6% for the limbs of bifurcation grafts compared to the higher dilatation rate of Dacron prostheses described in the literature. There was no evidence of anastomotic false aneurysms, thrombosis of the limbs of bifurcation grafts, peripheral embolization or perigraft reaction. In conclusion, PTFE prostheses seem to be a means of preventing patients from having secondary complications as a result of graft dilatation. Based on our early results and the results described in the literature, PTFE prostheses can be regarded as an alternative to dacron prostheses.

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A Clinical Survey of Aortobifemoral Bypass Using Two Inherently Different Graft Types

Cited by 34 publications

References 11 publications

A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

False Aneurysms

PTFE-Prothesen bei infrarenalen Bauchaortenaneurysmata

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