| Correlation of long-term results of extra-anatomic bypass and flow waveform analysis. | |
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MedLine Citation:
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PMID: 8405488 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To investigate the correlation between the long-term results of an extra-anatomic bypass and operative flow waveform analysis, we retrospectively reviewed 32 axillofemoral and 21 femorofemoral bypasses for between 1 and 5 years after surgical repair. For the grafts with a type O or I flow waveform pattern, the patency at 3 years (83%) and at 5 years (83%) was superior to grafts with a type II flow waveform (69 and 60%). For the axillofemoral bypass grafts with a type O or I waveform, the patency rate was 92% at 5 years. In contrast with the type II flow, the patency rate was 70% at 5 years. For the femorofemoral bypass with a type O or I and a II flow waveform, the patency at 4 years was 67 and 46%, respectively. In cases with concomitant superficial femoral artery occlusion, the flow waveform was type O or I in 23% and type II in 77%. The patency rate at 5 years was 85% for cases with a patent superficial femoral artery, and 51% for an occluded superficial femoral artery (p < 0.05). These results suggest that the long-term outcome of extra-anatomic bypass correlates with the operative flow wave analysis. In addition, good long-term results and an accurate flow wave pattern depend on the distal run-off, particularly the presence of a patent superficial femoral artery. |
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Authors:
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K Komori; K Okadome; S Funahashi; H Itoh; T Odashiro; T Ishii; K Sugimachi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular surgery Volume: 7 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1993 Sep |
Date Detail:
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Created Date: 1993-11-09 Completed Date: 1993-11-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 479-82 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Arterial Occlusive Diseases / physiopathology, surgery Blood Flow Velocity Blood Vessel Prosthesis* Female Femoral Artery / surgery* Humans Leg / blood supply* Male Middle Aged Retrospective Studies Rheology Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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