Vol. 7 (12) pp. 994-996 DOI: 10.21474/IJAR01/10243

CONDITIONS FAVORING SUCCESSFUL REINTERVENTION FOLLOWING LOWER LIMB GRAFT THROMBOSIS

  • Department of Vascular Surgery, Tirunelveli Medical College and Hospital, Tirunelveli
  • Department of Vascular Surgery, Coimbatore Medical College and Hospital, Coimbatore
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Abstract

Introduction: Postoperative graft thrombosis remains a significant clinical challenge. Etiologies are often multifactorial and include patient demographics, natural history, comorbidity conditions, and technical issues associated with arterial reconstruction. Here we analyze conditions favoring successful reintervention following lower limb graft thrombosis. Material and Methods: This is an observational study done in twenty patients who underwent reintervention procedures for graft thrombosis. Indications for interventions were critical limb ischemia with rest pain / tissue loss and disabling claudication. Results: Out of these twenty patients, post intervention patency rates were 60% (12 cases) and limb salvage rate were 70% (14 cases). Early intervention, claudicants and older patients had better patency and limb salvage in this study. Conclusion: Thus conditions favoring successful reintervention following lower limb graft thrombosis were early intervention, claudicants and older patients.

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References

  1. Rutherford?s vascular surgery, volume-1-2, 9th
  2. Wesley S.Moore?s Vascular and Endovascular surgery, 8th edition
  3. Taylor LM Jr, Hamre D, Dalman RL, Porter JM. Limb salvage vs amputation for critical ischemia: The role of vascular surgery. Arch Surg 1991;126:1251-8.
  4. Veith FJ, Gupta SK, Samson RH, et al. Progress in limb salvage by reconstructive arterial surgery combined with improved adjunctive procedures. Ann Surg 1981;194:386- 401.
  5. Green RM, Ouriel K, Ricotta n, et al. Revision of failed infrainguinal bypass graft: principles of management. Surgery 1986; 1 00:646-53.
  6. Harris RW, Andros G, Salles-Cunha SX, et al. Totally autogenous venovenous composite bypass grafts. Arch Surg 1986;121:1128-32.
  7. Harris RW, Andros G, Salles-Cunha SX, et al. Alternative autogenous vein grafts to the inadequate saphenous vein. Surgery 1986;100:822-7.

How to Cite This Article

Elancheralathan K. and Deepan Kumar B (2019); CONDITIONS FAVORING SUCCESSFUL REINTERVENTION FOLLOWING LOWER LIMB GRAFT THROMBOSIS, Int. J. of Adv. Res., 7 (12), 994-996, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/10243

Corresponding Author

Dr.Deepan kumar.B