Document Detail

Interventional radiology in the maintenance of infrainguinal vein graft patency.
MedLine Citation:
PMID:  8443647     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  80     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-04-06     Completed Date:  1993-04-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  187-93     Citation Subset:  AIM; IM    
Department of Surgery, Leicester Royal Infirmary, UK.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon
Graft Occlusion, Vascular / radiography*,  therapy
Inguinal Canal / blood supply*
Leg / blood supply*
Middle Aged
Prospective Studies
Vascular Patency*

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