Thromboendarterectomy for obstructive disease of the common iliac artery.

A retrospective case study was carried out from 1971-1990, with a median follow-up of 7 years, to assess the long-term results of thromboendarterectomy of the common iliac artery. The study included 94 consecutive patients, median age 52 years, of whom 84 suffered from atherosclerotic obstructive common iliac disease causing claudication, and 10 suffered from rest pain. Bilateral disease was present in 67 patients, and unilateral disease in 27.

Aneurysm formation in modified human umbilical vein grafts.

Objectives: Aneurysm formation in Human Umbilical Vein Grafts has been reported to be as high as 65% after 5 years. One of the causes might be the structure of the Biograft-wall and in 1985 a new method of processing the graft was begun. In Groningen this new improved Biograft has been used since late 1986.

Results of vascular reconstructions for atherosclerotic arterial occlusive disease of the lower limbs in young adults.

Objective: To evaluate early and long-term results of vascular reconstructions for arterial atherosclerotic occlusive disease (AOD) of the lower limb in young patients under the age of 40 years.

Design: Retrospective study.

Setting: University hospital.

Carotid endarterectomy without a temporary indwelling shunt: results and analysis of back pressure measurements.

A consecutive series of 342 carotid endarterectomies for cerebrovascular insufficiency without a temporary indwelling shunt is presented. The series is clinically analysed regarding the incidence of postoperative neurological deficits and mortality and statistically analysed concerning factors that may be reliable in identifying patients at risk. A transient neurological deficit occurred in five patients (1.

External carotid artery revascularization: indications, operative techniques and results.

The external carotid artery (ECA) is an important collateral pathway in patients with ipsilateral internal carotid artery (ICA) occlusion and recurrent symptoms. An ipsilateral ECA revascularization can improve cerebral perfusion or eliminate an embolic source. In the past 11 years 11 patients underwent operation, 6 times for amaurosis fugax and 5 times for transient ischaemic attacks.