Oclusión del bypass infrainguinal
- San Norberto García, Enrique
- Brizuela, J. A.
- Mengíbar Fuentes, Lucas
- Salvador Calvo, R.
- Revilla Calavia, Alvaro
- Carpintero, L.
- Gutiérrez Alonso, Vicente
- González Fajardo, J. A.
- Río, L. del
- Del Blanco, I.
- Ibáñez, M.A.
- Martín Pedrosa, José Miguel
- de Marino, Paloma
- Bodega, B.
- Carrera, S.
- Vaquero Puerta, Carlos
ISSN: 1139-8264
Year of publication: 2007
Volume: 10
Issue: 4
Pages: 231-236
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
Infrainguinal graft occlusions may occur in the immediate postoperative period (acute occlusions) or years later (late occlusions). Prevention of postoperative graft occlusions includes a correct decision to operate and adequacy inflow and outflow vessels, proximal and distal anastomoses, and conduit. Intraoperative confirmation of technical success, postoperative antiplatelet therapy, follow-up with duplex scanning and smoking cessation or close perioperative glycaemic control, were included in this composite endpoint. Acute occlusions should be treated immediately with a reasonable expectation that patency can be restore. The overall prognosis for patients with late failed infrainguinal grafts is poor however elective reoperation with a new autogenous vein graft achieves favourable limb salvage rates in patients with ischemic symptoms. Aim of our review is provided an approach to graft infrainguinal occlusions that results in maximal long-term graft patency, limb salvage and patient survival.