| Item type |
学術雑誌論文 / Journal Article_02(1) |
| 公開日 |
2008-03-28 |
| タイトル |
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タイトル |
Novel anastomotic method enables aorto-femoral bypass for patients with porcelain aorta. |
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言語 |
en |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ |
journal article |
| 著者 |
笹嶋, 唯博
Inaba, M
Azuma, N
Akasaka, N
Asada, H
Uchida, H
Sasajima, Y
Goh, K
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| 著者 ローマ字 |
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Sasajima, Tadahiro |
| 書誌情報 |
Journal of Vascular Surgery
巻 35,
号 5,
p. 1016-1019,
発行日 2002-01-01
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| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0741-5214 |
| DOI |
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識別子タイプ |
DOI |
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関連識別子 |
10.1067/mva.2002.123328 |
| リンクURL |
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内容記述タイプ |
Other |
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内容記述 |
http://www.sciencedirect.com/science/journal/07415214 | http://www.sciencedirect.com/science/journal/07415214 |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Purpose: Porcelain aorta is an indication for axillofemoral bypass. However, the procedure has definitive flaws. We present a new method for achievement of aortofemoral bypass. Methods: The portion of the distal aorta for anastomosis is wrapped with a double polytetrafluoroethylene mesh and fixed to the adventitia with continuous sutures. The adventitia of the anastomotic site is cut over the mesh until the calcified surface is disclosed. Margins of the mesh and the peeled adventitia are fixed along the anastomotic margin with continuous sutures. After the aorta and distal arteries are occluded with balloon catheters, an opening on the bared calcification is made with an airdrill and enlarged with a laminectomy rongeur. The anastomosis is performed between a graft and the mesh-reinforced adventitia with continuous sutures. Over 6 years, this method has been applied to nine patients with porcelain aorta who are diabetic or undergoing dialysis. The indications were disabling claudication in three patients and limb salvage in six patients. Results: No anastomotic complications or operative deaths were seen, and satisfactory mid-term results were obtained, with follow-up ranging from 3 to 62 months after surgery. One patient died of coronary heart disease 3 years after surgery, but the grafts retained a good function. Conclusion: This method is safe and effective, and more liberal application of this method may help improve outcome and quality of life. |
| 注記 |
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内容記述タイプ |
Other |
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注記 |
Elsevier, Tadahiro, Sasajima ; Masashi, Inaba ; Nobuyoshi, Azuma ; Nobuyuki, Akasaka ; Hidenori, Asada ; Hisashi, Uchida ; Yumi, Sasajima ; Kazutomo, Goh, Journal of Vascular Surgery, 35(5), 2002, 1016-1019.
\nauthor |
| 資源タイプ |
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内容記述タイプ |
Other |
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資源タイプ |
text |
| フォーマット |
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内容記述タイプ |
Other |
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内容記述 |
application/pdf |
| ID(XooNIps) |
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12021721 |
| 閲覧数(XooNIps) |
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| ダウンロード数(XooNIps) |
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1395 |
904.pdf (946.5 kB)
