| Results of infrainguinal revascularization with reversed vein conduits: a modern control series. | |
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MedLine Citation:
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PMID: 2015186 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To determine the outcome of infrainguinal reversed vein bypasses in the modern era, we reviewed the results of 120 consecutive reversed vein grafts performed from March, 1986 to March, 1990. Forty-nine bypasses were to tibial, peroneal, or pedal arteries, 46 grafts to the below-knee popliteal artery, and 25 grafts to the above-knee popliteal artery. Limb salvage was the indication for revascularization in 70% of patients. All grafts were followed with serial, duplex scan, peak-systolic graft flow velocity measurements every three months for one year and every six months thereafter. The primary life table patency rate at 36 months was 67.6% for the entire series; the secondary patency rate was 92.5%. The secondary patency rate reflects the impact of graft revisions resulting from the detection of failing grafts by duplex scanning. Patency rates of reversed vein grafts to the tibial arteries at 36 months (73.8% primary and 89.8% secondary) were equivalent to those performed to the popliteal artery. Our current patency rates with reversed vein grafts are comparable or superior to those reported for in-situ vein conduits and suggest that operative technique and meticulous follow-up are more important with respect to long-term graft durability than whether the vein is used in the in-situ or reversed configuration. |
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Authors:
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J L Mills; S M Taylor |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 5 ISSN: 0890-5096 ISO Abbreviation: Ann Vasc Surg Publication Date: 1991 Mar |
Date Detail:
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Created Date: 1991-05-21 Completed Date: 1991-05-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 156-62 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, United States Air Force Medical Center, Lackland Air Force Base, Texas 78236-5300. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arterial Occlusive Diseases
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surgery* Arteriovenous Shunt, Surgical / methods* Blood Vessel Prosthesis* Female Follow-Up Studies Graft Occlusion, Vascular / epidemiology Humans Leg / blood supply* Life Tables Male Middle Aged Popliteal Artery / surgery Saphenous Vein / transplantation* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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