초록접수 현황
| 15F-142 | Video session발표 |
Retroperitoneal Approach to the Supraceliac Aorta for Leriche Syndrome
Chun Sung Byun, Il Hwan Park, Soon Chang Hong, Joong Hwan Oh
Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju Severance Christian Hospital, Yonsei University College of Medicine, Gangwon-do, Republic of Korea
Background : Total obstruction of the juxtarenal abdominal aorta with Leriche syndrome is a relatively rare form of atherosclerotic vascular disease. It is amenable to extra-anatomical bypass surgery in selected patients instead of the standard procedure. Revascularization of the femoral arteries from the supraceliac aorta with a retroperitoneal approach is an uncommon procedure, but it is technically easy with excellent results. We report long-term results in eight patients with revascularization from the supraceliac aorta to the femoral arteries. A retroperitoneal approach to the supraceliac aorta as the origin for arterial bypass grafts to the lower extremities should be considered as a good alternative in patients with Leriche syndrome.
Methods : From 1992 to 2014, eight revascularization procedures from the supraceliac aorta to the lower extremities have been performed at Yonsei University Wonju Severance Christian Hospital. The purpose of this study was to review the efficacy and durability of the supraceliac aorta with a retroperitoneal approach as the origin for arterial bypass graft to the lower extremities. The medical records were reviewed to analyze demographics, risk factors, surgical indications, operative techniques, and perioperative complications. Preoperative angiograms were reviewed to determine the degree of collateral status. Early postoperative patency was documented by computed angiography and duplex scans from 2months to 20 years. Long-term follow-up of functional status was determined on the outpatient basis.
Results : All patients showed good long-term patency rates during the follow-up period of 2 to 22 years
Conclusion : In our small series of patients with Leriche syndrome, supraceliac aortofemoral bypass procedures showed no mortality and good long-term patency rates. The supraceliac aorta can function as the origin for lower extremity salvage in selected patients.
Methods : From 1992 to 2014, eight revascularization procedures from the supraceliac aorta to the lower extremities have been performed at Yonsei University Wonju Severance Christian Hospital. The purpose of this study was to review the efficacy and durability of the supraceliac aorta with a retroperitoneal approach as the origin for arterial bypass graft to the lower extremities. The medical records were reviewed to analyze demographics, risk factors, surgical indications, operative techniques, and perioperative complications. Preoperative angiograms were reviewed to determine the degree of collateral status. Early postoperative patency was documented by computed angiography and duplex scans from 2months to 20 years. Long-term follow-up of functional status was determined on the outpatient basis.
Results : All patients showed good long-term patency rates during the follow-up period of 2 to 22 years
Conclusion : In our small series of patients with Leriche syndrome, supraceliac aortofemoral bypass procedures showed no mortality and good long-term patency rates. The supraceliac aorta can function as the origin for lower extremity salvage in selected patients.
책임저자: Joong Hwan Oh
Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju Severance Christian Hospital, Yonsei University College of Medicine, Gangwon-do, Republic of Korea
연락처 : Joong Hwan Oh, Tel: 033-741-1323 , E-mail : mdjhoh@yonsei.ac.kr
