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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Tiesenhausen, K; Konstantiniuk, P; Hessinger, M.
External reinforcement of varicose veins in vascular surgery
GEFASSCHIRURGIE. 2011; 16(4): 266-+.
Doi: 10.1007/s00772-010-0846-2
Web of Science
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- Leading authors Med Uni Graz
- Tiesenhausen Kurt
- Co-authors Med Uni Graz
- Konstantiniuk Peter
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- Abstract:
- Autologous veins are the material of choice for peripheral bypass surgery. Varicose veins are deemed to be inadequate because of the risk of increasing dilatation or rupture. In this paper different possibilities of external reinforcement for varicose veins are discussed. From 1(st) November 2002 to 28(th) March 2010 a total of 24 patients with peripheral arterial disease underwent infrainguinal bypass surgery because of residual pain or gangrene. In all patients externally reinforced varicose veins were implanted as bypass grafts. In 8 cases a customary PTFE prosthesis was used for the external reinforcement, in 5 patients mesh tubing made of steel alloy (Biocompound-graftA (R)) and in 11 patients a porous polyester stent (ProVenaA (R)) was used. The follow-up of the patients ranged between 2 and 86 months (mean 40 months). In four patients thrombosis occurred in the bypass early postoperatively and amputation was necessary in two of these patients. During the follow-up three additional thromboses occurred in the bypass. The secondary patency rate after 1 year was 83% and over 90% of the limbs could be saved. Of the patients six died with a working bypass and preserved extremities. The use of externally reinforced varicose veins seems to offer an alternative to synthetic grafts with good results in a selected cohort of patients.
- Find related publications in this database (Keywords)
- Bypass
- Varicose vein
- External reinforcement
- Provena
- Biocompound graft