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Publications (4)2.88 Total impact

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    ABSTRACT: Case records of 2026 patients operated on because of abdominal aortic aneurysms from 11 Swedish Vascular Centers were reviewed and revealed 98 cases (4.8%) of inflammatory abdominal aortic aneurysm. Also included in this case-control study was an analysis of a randomized group of 82 patients from the same centers who had noninflammatory abdominal aortic aneurysms. Four inflammatory aneurysms were ruptured, compared with 16 in the noninflammatory group (p less than 0.01). A higher proportion of patients with inflammatory abdominal aortic aneurysms had symptoms that led to radiographic investigations. The median erythrocyte sedimentation rate was 39 mm versus 19 mm (26% of patients with inflammatory abdominal aortic aneurysms had erythrocyte sedimentation rates greater than 50 mm; p less than 0.001), and the serum creatinine level was increased in 27 and 8 patients (p less than 0.01) in the inflammatory and noninflammatory groups, respectively. Preoperative investigations revealed ureteral obstruction in 19 patients with inflammatory abdominal aortic aneurysms, of whom 12 had preoperative nephrostomy or ureteral catheter placement. At operation, 20 additional patients exhibited fibrosis around one or both ureters. Although ureterolysis was performed in 19 patients, preoperative and postoperative creatinine levels did not differ between these patients and the conservatively treated ones. Duration of surgery (215 vs 218 minutes), intraoperative blood loss (2085 vs 2400 ml) and complications did not differ significantly between the groups. Overall operative (30-day) mortality was equal (11% vs 12%) but was increased for patients undergoing elective surgery for inflammatory abdominal aortic aneurysms (9% vs 0%; p = 0.03).(ABSTRACT TRUNCATED AT 250 WORDS)
    Journal of Vascular Surgery 03/1991; 13(2):231-7; discussion 237-9. · 2.88 Impact Factor
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    ABSTRACT: Samples for bacteriological examination were obtained from the aneurysm wall of 85 patients subjected to abdominal aortic aneurysmectomy. Twelve patients (14%) had positive cultures. A total of 13 bacterial strains were isolated, the majority of which were present in only small numbers and were regarded as contaminants. One patient developed a graft infection due to ischemic necrosis of the sigmoid colon. During the follow-up period no further graft infection was noted in patients with positive or negative aortic cultures. It is concluded that the aneurysm wall itself does not represent an important source of early or late graft infection.
    Acta chirurgica Scandinavica 02/1983; 149(1):33-5.
  • I Eriksson, B Almgren, S Bowald, O Forsberg
    Lakartidningen 03/1982; 79(6):418-20.
  • B Almgren, S Bowald, I Eriksson, O Forsberg
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    ABSTRACT: A posterior midline incision was used for subfascial ligation of incompetent medial and lateral perforating veins in 57 limbs. The indications for surgery were recurrent ulceration in 41 limbs and severe skin changes in 16 limbs. At follow-up two years or more after surgery 48 limbs remained free from ulceration. Wound infection (7%) and necrosis (12%) healed with conservative treatment. In our experience the posterior approach is a good alternative to other methods for ligation of incompetent perforating veins in patients with advanced skin changes, including active ulceration.
    Acta chirurgica Scandinavica 02/1982; 148(3):243-5.