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master's thesis
Postupnik kirurškog liječenja okludiranih vaskularnih premosnica
Zagreb: University of Zagreb, School of Medicine, 2014. urn:nbn:hr:105:013991
Petračić, Ivan
University of Zagreb
School of Medicine
Department of Surgery

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Petračić, I. (2014). Postupnik kirurškog liječenja okludiranih vaskularnih premosnica (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:013991

Petračić, Ivan. "Postupnik kirurškog liječenja okludiranih vaskularnih premosnica." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:013991

Petračić, Ivan. "Postupnik kirurškog liječenja okludiranih vaskularnih premosnica." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:013991

Petračić, I. (2014). 'Postupnik kirurškog liječenja okludiranih vaskularnih premosnica', Master's thesis, University of Zagreb, School of Medicine, accessed 29 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:013991

Petračić I. Postupnik kirurškog liječenja okludiranih vaskularnih premosnica [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2014 [cited 2024 April 29] Available at: https://urn.nsk.hr/urn:nbn:hr:105:013991

I. Petračić, "Postupnik kirurškog liječenja okludiranih vaskularnih premosnica", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2014. Available at: https://urn.nsk.hr/urn:nbn:hr:105:013991

Metadata
TitlePostupnik kirurškog liječenja okludiranih vaskularnih premosnica
Title (english)Strategy of surgical treatment of vascular bypass occlusion
AuthorIvan Petračić
MentorMladen Petrunić (mentor)
Committee memberTomislav Luetić (predsjednik povjerenstva)
Committee memberTomislav Meštrović (član povjerenstva)
Committee memberMladen Petrunić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Surgery)
Zagreb
Defense date and country2014-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Cilj. Analizirati osobitosti bolesnika s okluzijama nakon aortofemoralnih premosnica, način liječenja okluzija nakon aortofemoralnih premosnica i njihovu povezanost s rezultatima liječenja, te utvrditi optimalnu strategiju liječenja okluzija aortofemoralnih premosnica. ----- Ispitanici i metode. Retrospektivna analiza povijesti bolesti bolesnika operiranih od siječnja 1998. do kraja 2012. godine u Zavodu za vaskularnu kirurgiju Klinike za kirurgiju KBC Zagreb. ----- Rezultati. U Zavodu za vaskularnu kirurgiju je od siječnja 1998. do kraja 2012. godine zbog aortoilijačne okluzivne bolesti operirano 286 bolesnika aortobifemoralnom premosnicom. U promatranom razdoblju zabilježene su 54 aortofemoralne okluzije (18,9%) u operiranih bolesnika (40 muškaraca i 14 žena). Prosječna životna dob bolesnika bila je 67,09 godina. Okluzije premosnica su u 18 bolesnika liječene trombektomijom i distalnom premosnicom, u 8 bolesnika femorofemoralnom premosnicom, a u 11 bolesnika trombektomijom i profundoplastikom. U 5 bolesnika je bila učinjena parcijalna resekcija premosnice i rekonstrukcija interpozitumom, u 5 je zamijenjena premosnica, a 3 bolesnika su bila liječena konzervativno. Kod sva 3 bolesnika liječena konzervativno naposlijetku je bila učinjena amputacija. ----- Zaključak. Postotak uspješno spašenih ekstremiteta i nizak mortalitet postupaka govore u prilog opetovanih revaskularizacijskih postupaka u pacijenata s okluzijama aortobifemoralnih premosnica.
Abstract (english)
Aim. To analyze the characteristics of patients with occlusions after aortofemoral bypass grafts as well as surgical treatment options and their correlation with the results. ----- Methods. A retrospective analysis of the medical histories of patients operated from January 1998th to the end of 2012. The analysis was conducted at the Department of Vascular Surgery, University Hospital Center Zagreb. ----- Results. Aortobifemoral bypasses were performed in 286 patients for aortoiliac occlusive disease at the Department of Vascular Surgery from January 1998 to the end of 2012. 54 aortofemoral graft occlusions (18.9%) were noted in treated patients (40 male and 14 female) during the monitored period. Average age of patients was 67.09 years. In 18 patients bypass occlusion was treated with thrombectomy and distal bypass, 8 patients were treated by femorofemoral bypass, and 11 patients with thrombectomy and profundoplasty. Partial graft resection and reconstruction with interpositum was performed in 5 patients. Bypass had to be replaced in 5 patients, and 3 patients were treated conservatively. All 3 patients who were treated conservatively, were subsequently amputated. ----- Conclusion. Limb salvage rate and low mortality of the procedure support the concept of repeated revascularizations in patients with aortobifemoral graft occlusions.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:013991
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2015-11-03 14:09:01