Document Detail

Serial noninvasive studies do not herald postoperative failure of femoropopliteal or femorotibial bypass grafts.
MedLine Citation:
PMID:  2679457     Owner:  NLM     Status:  MEDLINE    
We performed a 5-year retrospective case-control study of 232 patients undergoing femoropopliteal (n = 188) or femorotibial (n = 44) bypass to determine if serial noninvasive studies herald postoperative graft failure. We correlated serial ankle/arm pressure indices (API) with graft patency. An interval drop in API of greater than or equal to 0.20 was considered hemodynamically significant, but interventional therapy was carried out only for clinically symptomatic graft failure and an API less than 0.20 above the preoperative value. The cumulative 5-year limb salvage rate was 82% and the patient survival was 63%. A significant drop in API did not correlate with cumulative 5-year graft patency. The 5-year cumulative primary graft patency rates were 60% and 62% in patients with stable and interval drops in API, respectively (Z = 0.15, p = N.S.) These results suggest that a significant drop in postoperative API does not predict patients with impending femoropopliteal or femorotibial graft failure. We believe that routine noninvasive surveillance and prophylactic intervention on detected asymptomatic lesions in leg bypass grafts may not be justified.
R W Barnes; B W Thompson; C M MacDonald; M L Nix; A Lambeth; A D Nix; D W Johnson; B H Wallace
Related Documents :
24153687 - Pylephlebitis: an uncommon and dangerous cause of right upper quadrant pain.
3486327 - Coronary bypass graft fate. angiographic study of 1,179 vein grafts early, one year, an...
24733807 - Results of a multicenter, controlled, randomized clinical trial evaluating the combinat...
25061107 - Mycophenolic acid in the treatment of birdshot chorioretinopathy: long-term follow-up.
19507047 - The significance of age on success of surgery for patients with varicocele.
15897407 - The extended columellar strut-tip graft.
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Annals of surgery     Volume:  210     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1989-10-28     Completed Date:  1989-10-28     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  486-93; discussion 493-4     Citation Subset:  AIM; IM    
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock 72205.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Blood Vessel Prosthesis*
Femoral Artery / surgery*
Graft Rejection*
Middle Aged
Popliteal Artery / surgery*
Postoperative Complications / diagnosis*,  mortality
Retrospective Studies
Tibia / blood supply*

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

Previous Document:  Experience with the use of high-dose interleukin-2 in the treatment of 652 cancer patients.
Next Document:  The use of intraoperative echo with Doppler color flow imaging to predict outcome after repair of co...