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Revascularization after Removal of Aneurysm of the Superficialized Brachial Artery. Successful Treatment with Brachial-Ulnar Artery Bypass through the Ulnar Side Roots in the Elbow / 日本心臓血管外科学会雑誌
Article in Ja | WPRIM | ID: wpr-366830
Responsible library: WPRO
ABSTRACT
We performed 6 revascularization procedures in 5 patients after removing aneurysms of the superficialized brachial artery. The patients were 2 men and 3 women with an age range of 52 to 73 years. Their periods of hemodialysis ranged from 1 to 10 years. The aneurysms included 3 unruptured aneurysms, 1 ruptured aneurysm at the anastomosis site of an arteriovenous fistula and 1 ruptured infected aneurysm. Three procedures with interposed techniques for aneurysms and 3 brachial-urnal bypasses through the ulnar side roots of the elbow were performed with saphenous vein grafts (SVG) for revascularization. Two interposed SVGs closed after operation angiographically. In contrast, all brachial-ulnar bypass SVGs remained patent. One patient of the 2 graft occlusion patients had a ruptured infected aneurysm, and the other patient had exercised his elbow joint actively after operation. In conclusion, brachial-ulnar bypass through the ulnar side roots in the elbow is an effective revascularization technique for patients who exercise the elbow joint after operation or who have infected aneurysms.
Full text: 1 Index: WPRIM Language: Ja Journal: Japanese Journal of Cardiovascular Surgery Year: 2003 Type: Article
Full text: 1 Index: WPRIM Language: Ja Journal: Japanese Journal of Cardiovascular Surgery Year: 2003 Type: Article