Surgical management of limb prosthetic vascular graft exposure / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 609-612, 2012.
Artigo
em Chinês
| WPRIM
| ID: wpr-284323
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the risk factors and surgical management of limb prosthetic vascular graft exposure.</p><p><b>METHODS</b>The clinical data of 17 patients suffering from limb prosthetic vascular graft exposure in Peking Union Medical College Hospital from August 2006 to December 2011 were retrospectively analyzed. Among 17 cases, 5 suffered from prosthetic vascular graft exposure after vascular bypass for the lower limb ischemia, whereas 12 were affected after the artificial graft arteriovenous fistula construction in the upper limbs for hemodialysis. The surgical procedures mainly included the local debridement as well as the local flap and transferred muscle-cutaneous flap reconstruction to preserve the prosthetic vascular graft.</p><p><b>RESULTS</b>All 17 patients underwent local flap or muscle-cutaneous flap coverage procedure. After the surgery, the prosthetic vascular graft was successfully salvaged in 14 cases. The total successful rate was 82.4%. The surgery failed in three patients, in whom the prosthetic vascular grafts were finally removed.</p><p><b>CONCLUSION</b>Local flap and transferred muscle-cutaneous flap reconstruction is an effective surgical management to salvage the exposed grafts.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Cirurgia Geral
/
Retalhos Cirúrgicos
/
Estudos Retrospectivos
/
Seguimentos
/
Implante de Prótese Vascular
/
Extremidades
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Acta Academiae Medicinae Sinicae
Ano de publicação:
2012
Tipo de documento:
Artigo
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