European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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to study incidence, clinical presentation and problems in management of aortocaval fistula in our series. ⋯ Aortocaval fistulas, although rare, should be kept in mind, because clinical diagnosis is often difficult. Furthermore, unsuspected problems during repair may necessitate appropriate change in operative technique.
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Eur J Vasc Endovasc Surg · May 1999
Comparative StudyShould initial clamping for abdominal aortic aneurysm repair be proximal or distal to minimise embolisation?
to determine whether clamping proximally or distally on the infrarenal aorta during abdominal aortic aneurysm (AAA) repair increases the overall embolic potential. ⋯ initial distal clamping minimises distal embolisation, but may result in renal and/or visceral embolisation. Initial proximal clamping prevents proximal embolisation and does not promote distal embolisation. We recommend initial proximal clamping in aortic aneurysm surgery to minimise the overall risk of embolisation.