Document Detail


Intraoperative transcutaneous oxygen tension criteria for completion arteriography.
MedLine Citation:
PMID:  2364048     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the past three years, we studied the value of transcutaneous oxygen monitoring in 28 lower extremity vascular bypass procedures. In 21 reconstructions, a rapid rise in the transcutaneous oxygen tension following reperfusion was indicative of a patent graft and patent runoff vessels. Inadequate revascularization was identified in three of four patients in whom transcutaneous oxygen tension failed to rise following femorodistal arterial bypass (positive predictive value 75%). A normal intraoperative transcutaneous oxygen tension study following femorodistal bypass had a negative predictive value of 95%. The overall accuracy was 91%. Transcutaneous oxygen tension monitoring during lower extremity vascular bypass procedures is useful in assessing the success of revascularization and may be used to select which patients should undergo completion arteriography as opposed to those in whom an arteriogram is not essential.
Authors:
J B Alexander; M J Pello; R K Spence; R C Camishion
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  4     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1990-08-13     Completed Date:  1990-08-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  333-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Robert Wood Johnson Medical School, Camden-UMDNJ, Cooper Hospital University Medical Center.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Blood Gas Monitoring, Transcutaneous*
Female
Femoral Artery / radiography*,  surgery
Humans
Intraoperative Care
Male
Middle Aged
Monitoring, Physiologic
Popliteal Artery / surgery
Predictive Value of Tests

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


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