Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery

Bianca H.R. Vriens, Robert A. Pol, Robin G. Hulsebos, Rob J. van Det, Jacobus Adrianus Maria van der Palen, Clark J. Zeebregts, Robert H. Geelkerken

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Abstract

Background To date, the incidence and clinical relevance of arterial stenosis at clamp sites after femoropopliteal bypass surgery is unknown. Methods Ninety-four patients underwent a femoropopliteal bypass in which the arterial inflow and outflow clamp sites were controlled by the Fogarty-Soft-Inlay clamp and marked with an hemoclip. The number of pre-existing atherosclerotic segments, clamp force, and clamp time were recorded and the occurrence of a stenosis at the clamp site was determined. Results After a mean follow-up of 83 months, a significant stenosis was confirmed at 23 of the 178 clamp sites (12.9%; 95% confidence interval 8.4 to 18.8). The mean number of pre-existing atherosclerotic segments (P = .28) and the mean clamp force (P = .55) was similar between the groups with and without a stenosis. There was a significant difference regarding clamp time between the group with and without a stenosis (38 minutes and 26 minutes, P = .001). Conclusion Arterial clamping, even with the Fogarty-Soft-Inlay clamp, can lead to clamp stenosis and seems to be related to the duration of clamping, but not to pre-existent atherosclerotic burden.
Original languageEnglish
Pages (from-to)536-544
Number of pages9
JournalAmerican journal of surgery
Volume210
Issue number3/September
DOIs
Publication statusPublished - 2015

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Constriction
Pathologic Constriction
Inlays
Confidence Intervals
Incidence

Keywords

  • METIS-311819
  • IR-97250

Cite this

Vriens, B. H. R., Pol, R. A., Hulsebos, R. G., van Det, R. J., van der Palen, J. A. M., Zeebregts, C. J., & Geelkerken, R. H. (2015). Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery. American journal of surgery, 210(3/September), 536-544. https://doi.org/10.1016/j.amjsurg.2015.03.003
Vriens, Bianca H.R. ; Pol, Robert A. ; Hulsebos, Robin G. ; van Det, Rob J. ; van der Palen, Jacobus Adrianus Maria ; Zeebregts, Clark J. ; Geelkerken, Robert H. / Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery. In: American journal of surgery. 2015 ; Vol. 210, No. 3/September. pp. 536-544.
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title = "Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery",
abstract = "Background To date, the incidence and clinical relevance of arterial stenosis at clamp sites after femoropopliteal bypass surgery is unknown. Methods Ninety-four patients underwent a femoropopliteal bypass in which the arterial inflow and outflow clamp sites were controlled by the Fogarty-Soft-Inlay clamp and marked with an hemoclip. The number of pre-existing atherosclerotic segments, clamp force, and clamp time were recorded and the occurrence of a stenosis at the clamp site was determined. Results After a mean follow-up of 83 months, a significant stenosis was confirmed at 23 of the 178 clamp sites (12.9{\%}; 95{\%} confidence interval 8.4 to 18.8). The mean number of pre-existing atherosclerotic segments (P = .28) and the mean clamp force (P = .55) was similar between the groups with and without a stenosis. There was a significant difference regarding clamp time between the group with and without a stenosis (38 minutes and 26 minutes, P = .001). Conclusion Arterial clamping, even with the Fogarty-Soft-Inlay clamp, can lead to clamp stenosis and seems to be related to the duration of clamping, but not to pre-existent atherosclerotic burden.",
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author = "Vriens, {Bianca H.R.} and Pol, {Robert A.} and Hulsebos, {Robin G.} and {van Det}, {Rob J.} and {van der Palen}, {Jacobus Adrianus Maria} and Zeebregts, {Clark J.} and Geelkerken, {Robert H.}",
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Vriens, BHR, Pol, RA, Hulsebos, RG, van Det, RJ, van der Palen, JAM, Zeebregts, CJ & Geelkerken, RH 2015, 'Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery' American journal of surgery, vol. 210, no. 3/September, pp. 536-544. https://doi.org/10.1016/j.amjsurg.2015.03.003

Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery. / Vriens, Bianca H.R.; Pol, Robert A.; Hulsebos, Robin G.; van Det, Rob J.; van der Palen, Jacobus Adrianus Maria; Zeebregts, Clark J.; Geelkerken, Robert H.

In: American journal of surgery, Vol. 210, No. 3/September, 2015, p. 536-544.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery

AU - Vriens, Bianca H.R.

AU - Pol, Robert A.

AU - Hulsebos, Robin G.

AU - van Det, Rob J.

AU - van der Palen, Jacobus Adrianus Maria

AU - Zeebregts, Clark J.

AU - Geelkerken, Robert H.

PY - 2015

Y1 - 2015

N2 - Background To date, the incidence and clinical relevance of arterial stenosis at clamp sites after femoropopliteal bypass surgery is unknown. Methods Ninety-four patients underwent a femoropopliteal bypass in which the arterial inflow and outflow clamp sites were controlled by the Fogarty-Soft-Inlay clamp and marked with an hemoclip. The number of pre-existing atherosclerotic segments, clamp force, and clamp time were recorded and the occurrence of a stenosis at the clamp site was determined. Results After a mean follow-up of 83 months, a significant stenosis was confirmed at 23 of the 178 clamp sites (12.9%; 95% confidence interval 8.4 to 18.8). The mean number of pre-existing atherosclerotic segments (P = .28) and the mean clamp force (P = .55) was similar between the groups with and without a stenosis. There was a significant difference regarding clamp time between the group with and without a stenosis (38 minutes and 26 minutes, P = .001). Conclusion Arterial clamping, even with the Fogarty-Soft-Inlay clamp, can lead to clamp stenosis and seems to be related to the duration of clamping, but not to pre-existent atherosclerotic burden.

AB - Background To date, the incidence and clinical relevance of arterial stenosis at clamp sites after femoropopliteal bypass surgery is unknown. Methods Ninety-four patients underwent a femoropopliteal bypass in which the arterial inflow and outflow clamp sites were controlled by the Fogarty-Soft-Inlay clamp and marked with an hemoclip. The number of pre-existing atherosclerotic segments, clamp force, and clamp time were recorded and the occurrence of a stenosis at the clamp site was determined. Results After a mean follow-up of 83 months, a significant stenosis was confirmed at 23 of the 178 clamp sites (12.9%; 95% confidence interval 8.4 to 18.8). The mean number of pre-existing atherosclerotic segments (P = .28) and the mean clamp force (P = .55) was similar between the groups with and without a stenosis. There was a significant difference regarding clamp time between the group with and without a stenosis (38 minutes and 26 minutes, P = .001). Conclusion Arterial clamping, even with the Fogarty-Soft-Inlay clamp, can lead to clamp stenosis and seems to be related to the duration of clamping, but not to pre-existent atherosclerotic burden.

KW - METIS-311819

KW - IR-97250

U2 - 10.1016/j.amjsurg.2015.03.003

DO - 10.1016/j.amjsurg.2015.03.003

M3 - Article

VL - 210

SP - 536

EP - 544

JO - American journal of surgery

JF - American journal of surgery

SN - 0002-9610

IS - 3/September

ER -