Document Detail


Hemodynamic effects of closure of residual arteriovenous fistulae during in situ graft procedures.
MedLine Citation:
PMID:  20822722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective was to study the intraoperative hemodynamic effects of closure of residual arteriovenous fistulae during in situ saphenous vein graft procedures. Data on 60 residual arteriovenous fistulae in nine patients (five men) with a median age of 74 years (range 64-83 years) with critical lower limb ischemia were obtained. Direct measurements of proximal and distal blood pressures in the graft were taken and simultaneous determinations of volume blood flow proximally and distally in the graft with ultrasound transit time technique before and after closure of residual fistulae were made. Closure of a fistula with blood flow around or below 100 mL/min did not increase distal outflow, whereas closure of fistulae with higher blood flow resulted in unpredictable changes in distal outflow. Only fistulae with a blood flow above approximately 100 mL/min may be of hemodynamic significance.
Authors:
Jesper Laustsen; Henriette Svarre Nielsen; Erik Morre Pedersen; William P Paaske
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Vascular     Volume:  18     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-08     Completed Date:  2010-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  275-8     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic and Vascular Surgery T, Aarhus University Hospital, Skejby, Brendstrupgaardsvej 100, Aarhus N, Denmark. laustsen@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arteriovenous Fistula / physiopathology,  surgery*,  ultrasonography
Blood Flow Velocity
Blood Pressure
Denmark
Female
Femoral Artery / physiopathology,  surgery
Hemodynamics*
Humans
Ischemia / physiopathology,  surgery*,  ultrasonography
Lower Extremity / blood supply*
Male
Middle Aged
Regional Blood Flow
Saphenous Vein / physiopathology,  transplantation*,  ultrasonography
Treatment Outcome

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


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