European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Jun 2010
Randomized Controlled Trial Multicenter Study Comparative StudyPTFE bypass to below-knee arteries: distal vein collar or not? A prospective randomised multicentre study.
Patency and limb salvage after synthetic bypass to the arteries below-knee are inferior to that which can be achieved with autologous vein. Use of a vein collar at the distal anastomosis has been suggested to improve patency and limb salvage, a problem that is analysed in this randomised clinical study. ⋯ This study failed to show any benefit for vein collar with PTFE bypass to a below-knee artery.
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Eur J Vasc Endovasc Surg · Jun 2010
Comparative StudyAnaesthetic specialisation leads to improved early- and medium-term survival following major vascular surgery.
Vascular surgical specialisation is associated with improved outcomes. We aimed to assess the effect of anaesthetic specialisation on outcome following major vascular surgery. ⋯ Anaesthetic specialisation reduced early- and medium-term mortality rates following major vascular surgery. If replicated by prospective studies, these results suggest that vascular surgery services would benefit from specialised anaesthetic support.
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Eur J Vasc Endovasc Surg · Jun 2010
Comparative StudyPain management in peripheral arterial obstructive disease: oral slow-release oxycodone versus epidural l-bupivacaine.
To compare the effectiveness of oral slow-release oxycodone (group OX, n=18) with that of epidural l-bupivacaine (group LRA, n=13) for the control of moderate/severe pain of advanced-stage peripheral arterial obstructive disease (PAOD) patients. ⋯ In the perioperative setting, the epidural infusion of local anaesthetics, such as l-bupivacaine, is an effective technique for pain control in PAOD patients; for patients with contraindication for this technique or for non-surgical or outpatients, slow-release oxycodone is suggested as a possible alternative for the control of severe pain in these patients.