Document Detail


Graft patency evaluation with colour-Doppler ultrasonography after bypass surgery in Takayasu's arteritis: a direct colour-flow lumen imaging method.
MedLine Citation:
PMID:  9894494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the feasibility and potential diagnostic usefulness of colour-Doppler flow imaging (CDFI) to detect complications of supra-aortic vascular bypass grafts in Takayasu's arteritis (TA). DESIGN: A prospective study. MATERIALS: Nine supra-aortic grafts in six patients with Takayasu's arteritis. METHODS: The minimal, maximal, and true colour-flow image diameters of the lumens of the grafts were measured and stenoses, occlusions, and dilatations were evaluated and compared with angiographic findings. RESULTS: The sensitivity for detection in > 50% stenoses and in total occlusions was 75% while specificity was 100%. Only one 40% stenosis had been overlooked in whole. The maximal difference of stenosis by two methods was otherwise 20%. CONCLUSIONS: CDFI was in general able to expose stenoses in supra-aortic grafts, but the lack of visibility of some grafts throughout their length cause the false results. It appears that some angiographies can be replaced by CDFI and that this is a suitable method for follow-up in symptom-free patients with grafts.
Authors:
R O Raninen; M S Pamilo; K T Leirisalo-Repo; P E Hekali
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  16     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-02-03     Completed Date:  1999-02-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  525-9     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Helsinki University Central Hospital, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angiography, Digital Subtraction
Blood Vessel Prosthesis Implantation
Female
Graft Occlusion, Vascular / radiography,  ultrasonography*
Humans
Middle Aged
Prospective Studies
Sensitivity and Specificity
Takayasu Arteritis / radiography,  surgery*,  ultrasonography*
Ultrasonography, Doppler, Color
Vascular Patency
Veins / transplantation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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