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《Chinese Journal of General Surgery》 2008-06
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Treatment of occlusion of PTFE grafting in lower limb:a report of 86 cases

CUI Shijun,ZHANG Jian,GU Yongquan,YU Hengxi,LI Jianxin,LI Xuefeng,QI Lixing,GUO Lianrui,WANG Zhonggao(Department of Vascular Surgery,Xuanwu Hospital,& Institute of Vascular Surgery,Capital University of Medical Sciences,Beijing 100053,China)  
Objective To investigate the effectiveness and limb salvage rate of treatment for occlusion of PTFE grafting in the lower limb.Methods From July 1998 to May 2007,86 lower limbs with PTFE grafting occlusion in 79 patients were treated in Xuanwu Hospital.Thrombectomy for PTFE grafting occlusion was performed in 37 limbs(43.1%);thrombectomy combined with new PTFE prosthesis to reconstruction the distant artery was performed in 13 limbs(15.1%);thrombectomy combined with interventional therapy was performed in 13 limbs(15.1%);Re-grafting with new PTFE graft was carried out in 9 limbs(10.5%);medical treatment was used in 7 limbs(8.1%);amputation was performed in 7 limbs(8.1%).Results Twenty-two limbs in 21 patients were amputated.Eight patients died.The limb salvage rate in revascularization patients was 63%.Conclusions Thrombectomy in the occluded PTFE graft,thrombectomy combined with graft-tibial or peroneal artery bypass,thrombectomy in PTFE graft combined with interventional therapy,and re-grafting with a new PTFE graft can be used.Those methods are effective treatment and can avoid amputation in most patients.
【Fund】: 北京市自然科学基金资助项目(7052031)
【CateGory Index】: R654.4
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【Citations】
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1 LUO Tao,GU Yong-quan,YU Heng-xi,LI Xue-feng,QI Li-xing,LI Jian-xin,ZHANG Jian,WANG Zhong-gao(The Vascular Department,Xuanwu Hospital,the Capital University of Medical Science,Beijing 100053,China);Clinical analysis of composite sequential bypass graft for treatment of chronic limb ischemia[J];Chinese Journal of General Surgery;2007-06
【Co-citations】
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1 ;下肢深静脉血栓形成的病因及诊断的研究进展[J];Contemporary Medicine;2009-34
2 Feng Su-min Li Li-hong (Department of Catheter,The First Hospital of Shijiazhuang City,Shijiazhuang 050011,China);Nursmg Care in erventive Treatment of Carotid Artery Stenosis[J];Chinese Journal of Medicinal Guide;2008-05
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