Evaluation de la qualité de vie après prélèvement de la veine fémorale superficielle lors de reconstructions infra-inguinales [Quality of life after superficial femoral vein harvest for infra-inguinal reconstructions]
Data(s) |
2006
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Resumo |
BACKGROUND: The superficial femoral vein (SFV) is a well-established alternative conduit for infra-inguinal reconstructivenous hypertension after SFV harvest may however result in significant morbidity. This study reports the efficiency of SFV as conduit for infra-inguinal reconstructions and characterize the anatomic and physiologic changes in harvest limbs and their relationship to the development of venous complications. METHODS: From May 1999 through November 2003, 23 SFV were harvested from 21 patients undergoing infra-inguinal reconstructions. Bypasses were controlled by regular duplex-ultrasound. The venous morbidity was assessed by measurements of leg circumferences, strain-gauge plethysmography and quality of life, investigated by the VEINES-QOL scale. RESULTS: At a mean follow-up of 10.4 months (range 1-56), primary, secondary patency and limb salvage rates of infra-inguinal bypasses using SFV are 71.4%, 76.2% and 85.7% respectively. No patient had major venous claudication. Oedema was significantly present in nine patients. Strain-gauge plethysmography showed outflow obstruction in all patients. The VEINES-QOL assessment showed no limitation in social and domestic activity, moderate complain about leg heaviness despite presence of oedema. CONCLUSION: The SFV harvest is a reliable conduit for infra-inguinal reconstructions and results in moderate venous morbidity in terms of functional consequences and quality of life. |
Identificador |
http://serval.unil.ch/?id=serval:BIB_5DC267257C73 isbn:1661-8157 pmid:16602217 |
Idioma(s) |
fr |
Fonte |
Praxis, vol. 95, no. 12, pp. 447-50 |
Palavras-Chave | #Aged; Aged, 80 and over; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Female; Femoral Vein; Follow-Up Studies; Humans; Leg; Limb Salvage; Male; Middle Aged; Plethysmography, Impedance; Prospective Studies; Quality of Life; Questionnaires; Risk Factors; Survival Analysis; Time Factors; Tissue and Organ Harvesting; Ultrasonography, Doppler, Duplex; Vascular Patency; Vascular Surgical Procedures |
Tipo |
info:eu-repo/semantics/article article |