| Interventional radiology in the maintenance of infrainguinal vein graft patency. | |
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MedLine Citation:
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PMID: 8443647 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The impact of interventional radiology on the cumulative patency rate of 112 consecutive infrainguinal vein grafts was reviewed. The primary, primary assisted and secondary cumulative patency rates at 42 months were 40, 65 and 69 per cent respectively. The difference between primary and primary assisted patency rates (40 versus 65 per cent, P = 0.001) resulted from the early detection and treatment of stenoses in 30 grafts by percutaneous transluminal angioplasty (PTA). Interventional radiology also improved the cumulative graft patency rate through PTA of one inflow and five outflow arteries, thrombolysis of two graft occlusions, embolization of two persistent arteriovenous fistulas and salvage of one graft on the first day after operation by percutaneous aspiration of distal graft thrombus. Interventional radiology has a crucial role to play in the maintenance of infrainguinal vein graft patency; provided that graft stenoses are detected early in their development by aggressive graft surveillance, PTA is a highly effective treatment. |
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Authors:
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N J London; R D Sayers; M M Thompson; A R Naylor; T Hartshorne; D A Ratliff; P R Bell; A Bolia |
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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: 80 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1993 Feb |
Date Detail:
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Created Date: 1993-04-06 Completed Date: 1993-04-06 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: 187-93 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Leicester Royal Infirmary, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon Female Graft Occlusion, Vascular / radiography*, therapy Humans Inguinal Canal / blood supply* Leg / blood supply* Male Middle Aged Prospective Studies Vascular Patency* Veins |
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