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Antegrade revascularisation for chronic visceral ischaemia
1Charing Cross Hospital, Imperial College of Science Technology and Medicine, London, UK. George.Geroulakos@eht.nhs.uk
Zentralblatt Fur Chirurgie
|June 21, 2005
Summary
Antegrade revascularisation offers advantages for chronic visceral ischaemia management. This surgical approach provides better aortic exposure and utilizes healthy vessels, proving durable and effective.
Area of Science:
- Vascular Surgery
- Abdominal Surgery
Background:
- Management of chronic visceral ischaemia lacks a consensus surgical approach.
- Antegrade revascularisation presents potential benefits over other techniques.
Purpose of the Study:
- To evaluate the efficacy and advantages of antegrade revascularisation for chronic visceral ischaemia.
- To highlight the benefits of accessing the supraceliac aorta for bypass grafting.
Main Methods:
- Utilizing an antegrade bypass originating from the supraceliac aorta.
- Approaching the supraceliac aorta via abdominal or thoracoabdominal extraperitoneal routes.
- Reviewing results from multiple series employing this technique.
Main Results:
- Antegrade revascularisation provides excellent exposure of the supraceliac aorta.
- Bypass can originate from atherosclerosis-spared segments of the aorta.
- The technique is placed in the direction of normal blood flow.
Conclusions:
- Antegrade revascularisation is a durable and effective technique for chronic visceral ischaemia.
- The surgical approach offers significant advantages in terms of exposure and graft origin.
- Further evidence supports its use in managing visceral artery disease.