This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (46)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Late Observations

Charles R. Lye, MD; S. Timothy String, MD; Edwin J. Wylie, MD; Ronald J. Stoney, MD

Arch Surg. 1975;110(11):1321-1326.

Abstract
• Forty-nine iliac artery autografts were used in the treatment of renovascular hypertension in 45 patients, including six children. The pathological process was fibromuscular dysplasia in 42, atherosclerosis in two, and Takayasu arteritis in one. The internal iliac artery was used as a graft in 39 patients. The common iliac bifurcation was used in two patients, and the external iliac artery in four patients. Common and external iliac artery continuity was restored with Dacron prostheses.

Forty-three patients with 47 autografts have been followed up from one to ten years (average three years). Hypertension was cured or improved in 96% of the patients. Serial follow-up arteriograms as late as ten years after surgery have been obtained in 50% of the patients. No late occlusions occurred. Slight autograft dilation occurred seven years postoperatively in one child. Normal growth of the autograft was exhibited in the remaining five children. No evidence of dilation, aneurysm formation, or stenosis appeared in any other grafts, although one patient developed a new lesion distal to her graft.

(Arch Surg 110:1321-1326, 1975)

Author Affiliations
From the Department of Surgery, University of California Medical Center, San Francisco.

Footnotes
Accepted for publication June 27, 1975.

Read before the 23rd scientific meeting of the International Cardiovascular Society, Boston, June 19, 1975.

Reprint requests to Department of Surgery, University of California Medical Center, San Francisco, CA 94143 (Dr Stoney).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Arterial Grafting with the Telescoping Anastomotic Technique for Arterial Defects
SAITOH and NAKATSUCHI
J Hand Surg Eur Vol 1994;19:461-465.
ABSTRACT  

The Orthograde Venous Autograft and Allograft: Presidential Address
Donovan
Arch Surg 1988;123:1191-1195.
ABSTRACT  

Free Internal Mammary Artery Graft as Arteriovenous Fistula: An Experimental Study
Aarnio et al.
VASC ENDOVASCULAR SURG 1988;22:172-178.
ABSTRACT  

Free Internal Mammary Artery as Canine Coronary Artery Bypass Graft
Aarnio et al.
VASC ENDOVASCULAR SURG 1988;22:179-184.
ABSTRACT  

Autologous Arterial Reconstruction in the Treatment of Renal Artery Stenosis
Turini et al.
VASC ENDOVASCULAR SURG 1985;19:93-98.
ABSTRACT  

Aortorenal Arterial Autografts: Long-term Assessment
Stoney et al.
Arch Surg 1981;116:1416-1422.
ABSTRACT  

Acute Bilateral Renal Artery Occlusion: Revascularization With the Splenic Artery
Johansen et al.
Arch Surg 1981;116:1232-1235.
ABSTRACT  

Ex Vivo Renal Artery Reconstruction
Stoney et al.
Arch Surg 1978;113:1272-1278.
ABSTRACT  

Surgical Treatment of Renovascular Hypertension
Stanley and Fry
Arch Surg 1977;112:1291-1297.
ABSTRACT