Document Detail


Outflow distribution at the distal anastomosis of infrainguinal bypass grafts.
MedLine Citation:
PMID:  14757463     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Outflow distribution at the distal anastomosis of infrainguinal bypass grafts remains unquantified in vivo, but is likely to influence flow patterns and haemodynamics, thereby impacting upon graft patency. This study measured the ratio of distal to proximal outflow in 30 patients undergoing infrainguinal bypass for lower limb ischaemia, using a flow probe and a transit-time ultrasonic flow meter. The mean outflow distribution was approximately 75% distal to 25% proximal, with above knee anastomoses having a greater proportion of distal flow (84%) compared to below knee grafts (73%). These in vivo flow characteristics differ significantly from those used in theoretical models studying flow phenomena (50:50 and/or 100:0), and should be incorporated into future research.
Authors:
R K Fisher; T V How; A Bakran; J A Brennan; P L Harris
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of biomechanics     Volume:  37     ISSN:  0021-9290     ISO Abbreviation:  J Biomech     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-03     Completed Date:  2004-06-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0157375     Medline TA:  J Biomech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-20     Citation Subset:  IM    
Affiliation:
Department of Clinical Engineering, Royal Liverpool University Hospital, Duncan Building, Daulby Street, Liverpool L69 3GA, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical / methods*
Angiography
Arteriovenous Anastomosis / physiopathology*
Blood Flow Velocity
Blood Vessel Prosthesis
Female
Humans
Ischemia / physiopathology*,  radiography,  surgery*,  ultrasonography
Leg / blood supply*,  radiography,  surgery*,  ultrasonography
Male
Regional Blood Flow
Transplants*

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


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