| Duplex ultrasound surveillance of infrainguinal bypass grafts: auditing the process. | |
| | |
MedLine Citation:
|
PMID: 7861339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The effectiveness of an infrainguinal bypass graft surveillance programme using duplex scanning was assessed over a 2-year period. Of 220 infrainguinal bypass grafts (123 vein and 97 PTFE grafts; 114 to the above knee level, 94 below knee and 12 distal to popliteal artery) in 203 patients, 208 (94.5%) were available for follow-up surveillance. The protocol called for duplex scans at 6 weeks, 3, 6, 9 and 12 months. Fifty-seven grafts (27%) were found to have a V1/V2 ratio equal to or greater than 1.5 and in this group 25 grafts occluded. The median time between primary operation and positive duplex finding was 4 months. Thirty-nine grafts failed during follow-up (at time of analysis median follow-up was 12 months [range 2-83 months]). There were 18 interventions resulting from surveillance-detected stenoses. The median time between positive duplex finding and further investigation was 2 months. Further, there were significant differences in the site of abnormal findings between ePTFE and vein grafts. The value of a surveillance programme may be reduced if there are low rates of intervention and/or excessive delays in intervention following the demonstration of graft-related stenoses. Surveillance programmes and subsequent interventions need to be audited. |
| | |
Authors:
|
T Taylor; P A Stonebridge; P L Allan; J Kelman; B Andrade; M J Davies; J A Murie; A M Jenkins; C V Ruckley |
Related Documents
:
|
1828089 - Lack of diameter effect on short-term patency of size-matched dacron aortobifemoral gra... 12563199 - Long-term outcome of infrainguinal bypass grafting in patients with serologically prove... 8818759 - Congenital facial palsy and crossed facial nerve grafts: age and outcome. 22977769 - The effect of recombinant human growth hormone therapy in patients with completed strok... 2680609 - Vascular graft infection: the role of indium scanning. 17728049 - Dorsal onlay skin graft bulbar urethroplasty: long-term follow-up. 22763469 - Spinal cord ischemia after endovascular aortic repair versus open surgical repair for d... 20452759 - Dynamic hyperinflation after metronome-paced hyperventilation in copd--a 2 year follow-up. 21622989 - Extended daily on-line high-volume haemodiafiltration in septic multiple organ failure:... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the Royal College of Surgeons of Edinburgh Volume: 39 ISSN: 0035-8835 ISO Abbreviation: J R Coll Surg Edinb Publication Date: 1994 Oct |
Date Detail:
|
Created Date: 1995-03-23 Completed Date: 1995-03-23 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7503110 Medline TA: J R Coll Surg Edinb Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 297-300 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Royal Infirmary, Edinburgh, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Blood Vessel Prosthesis* Female Graft Occlusion, Vascular / ultrasonography* Groin Humans Leg / blood supply* Male Middle Aged Polytetrafluoroethylene Retrospective Studies Veins / transplantation* |
| Chemical | |
Reg. No./Substance:
|
9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: How far to pass a nasogastric tube? Particular reference to the distance from the anterior nares to ...
Next Document: Atypical mycobacterial lymphadenopathy in children--is it underdiagnosed?