| Duplex assessment of run-off before femorocrural reconstruction. | |
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MedLine Citation:
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PMID: 9361588 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study was a prospective evaluation of colour duplex imaging for the assessment of distal run-off before femorocrural reconstruction. METHODS: Patients with critical ischaemia who required a distal bypass underwent preoperative run-off assessments using dependent Doppler, arteriography and duplex imaging by a vascular surgeon, radiologist and technologist respectively; each was blinded to the findings of the others. Preoperative data were compared with intraoperative clinical findings and completion flow studies/ arteriograms. RESULTS: Forty-three consecutive patients (33 men, ten women; mean age 78 (range 53-95) years; 12 diabetic) undergoing 44 femorocrural reconstructions for critical ischaemia were assessed. The 30-day primary cumulative graft patency for the series was 86 per cent. Dependent Doppler correctly predicted a suitable run-off vessel in 21 limbs but was indeterminate in four and unrecordable in 19. Arteriography correctly predicted a suitable run-off vessel in 32 cases, but was indeterminate in six and failed to demonstrate run-off in three patients. Arteriography suggested an inferior vessel in three cases. Duplex correctly predicted a suitable run-off vessel for all 44 grafts. CONCLUSION: Duplex imaging is superior to arteriography for preoperative assessment of distal run-off for femorocrural reconstruction. |
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Authors:
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Y G Wilson; J K George; D C Wilkins; S Ashley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of surgery Volume: 84 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1997 Oct |
Date Detail:
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Created Date: 1997-12-04 Completed Date: 1997-12-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1360-3 Citation Subset: AIM; IM |
Affiliation:
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Vascular Surgical Unit, Derriford Hospital, Plymouth, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Blood Vessel Prosthesis Implantation Decision Making Female Femoral Vein Humans Ischemia / surgery*, ultrasonography Leg / blood supply* Male Middle Aged Preoperative Care Prospective Studies Sensitivity and Specificity Tibial Arteries Ultrasonography, Doppler, Color* / standards Ultrasonography, Interventional Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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