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Abdominal Aortic Aneurysm Surgery in High-Risk Patient: Retrograde Anastomosis Using a Ringed Y-graft

The bulletin of the Yamaguchi Medical School Volume 49 Issue 3-4 Page 49-53
published_at 2002-12
A020049000302.pdf
[fulltext] 172 KB
Title
Abdominal Aortic Aneurysm Surgery in High-Risk Patient: Retrograde Anastomosis Using a Ringed Y-graft
Creators Kurata Satoru
Source Identifiers
Creator Keywords
Abdominal aortic aneurysm High-risk patient Ring graft Retrograde anastomosis Aortic cross-clamp time
In September 1986, Ⅰ developed a ringed Y-graft (RYG) . First, non-suture technique with RYG was applied to 20 high-risk patients with the conventional Y-graft (CYG) method (21 cases) . Aortic cross-clamp time was 37±3.4 minutes in the RYG group and 56±3.1 minutes In the CYG group. The RYG method reduced aortic cross-slamp time significantly(P<0.001) . All the patients with both groups recovered and were discharged from the hospital. Next, retrograde anastomosis technique with RYG was applied to 9 high-risk patients with cardiac or renal complications, (eight men and one women) with a mean age of 74 years (range 65-82 years). The aortic cross-clamp time ranged from 6-18 minutes with an average of 9:09 minutes. None of the patients deveroped postperative complications and all of them have remained well after discharge. I succeeded in reducing the aortic cross-clamp time from 56 to 9 minutes by retrograde anastomosis technique, in which anastimosis is started at the peripheral end of the graft. The retrograde anastomosis technique using RYG is useful for high-risk abdominal aortic aneurysm repair.
Subjects
医学 ( Other)
Languages eng
Resource Type departmental bulletin paper
Publishers Yamaguchi University Graduate School of Medicine
Date Issued 2002-12
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1812
[NCID]AA00594272
Schools 医学部