Synthetic graft removal using «Graft-Extractor» device during redo bypass surgery

Salekh A.Z.; Guseynov D.A.; Gubarev I.A.; Frolov K.B.

doi:https://doi.org/10.17116/kardio202114021202

Salekh A.Z.

Pirogov Moscow City Hospital No. 1

Guseynov D.A.

Pirogov Municipal Clinical Hospital No.1;
Pirogov Russian National Research Medical University

Gubarev I.A.

Pirogov Moscow City Hospital No. 1

Frolov K.B.

Pirogov Moscow City Hospital No. 1

Synthetic graft removal using «Graft-Extractor» device during redo bypass surgery

Authors:

Salekh A.Z., Guseynov D.A., Gubarev I.A., Frolov K.B.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(2): 202‑207

DOI: 10.17116/kardio202114021202

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To cite this article:

Salekh AZ, Guseynov DA, Gubarev IA, Frolov KB. Synthetic graft removal using «Graft-Extractor» device during redo bypass surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(2):202‑207. (In Russ.)
https://doi.org/10.17116/kardio202114021202

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To improve the technique and outcomes of redo reconstructive interventions in patients with femoropopliteal graft thrombosis.

MATERIAL AND METHODS

We analyzed the results of surgical treatment in 96 patients with femoropopliteal graft thrombosis. Various surgical approaches were applied in both groups. In the comparison groups, we performed resection without removal of previous prosthesis (n=34) or its removal in standard fashion (n=29). Removal of previous prosthesis using an original device was carried out in the main group (n=33).

RESULTS

The proposed method is valuable to deploy a newly installed graft simultaneously with removal of previous prosthesis through the same prosthetic channel. This approach significantly reduces surgical trauma and risks of perioperative complications, including postoperative hematoma, lymphorrhea, wounds and prosthesis infection, local neurological disorders.

CONCLUSION

The proposed technique of redo reconstructive interventions in patients with femoropopliteal graft thrombosis significantly improves the quality of treatment, reduces hospital-stay and rehabilitation time.

Keywords:

femoral-popliteal bypass surgery

graft thrombosis

redo bypass surgery

Authors:

Salekh A.Z.

Pirogov Moscow City Hospital No. 1

Guseynov D.A.

Pirogov Municipal Clinical Hospital No.1;
Pirogov Russian National Research Medical University

Gubarev I.A.

Pirogov Moscow City Hospital No. 1

Frolov K.B.

Pirogov Moscow City Hospital No. 1

Received:

16.08.2020

Accepted:

12.11.2020

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References:

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