| The impact of adjuvant av-fistula on cuffed Femorocrural PTFE bypass grafting: flow and pressure response. | |
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MedLine Citation:
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PMID: 15749044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of the present study was to assess the effect of an adjuvant av-fistula on prosthetic bypass grafting and whether intraoperative flow measurements could predict patency and adverse events of cuffed femorocrural PTFE bypass with or without an av-fistula. METHODS: A total of 50 patients in need of vascular reconstruction for critical limb ischaemia (CLI) but with no suitable venous conduit were included. RESULTS: The flow values in patients with av-fistula were significantly higher (p=0.009) than in the group without the fistula but the higher flow values did not result in improved patency. The maximum flow velocity (Vmax) in the av-fistula group was significantly higher in the immediate postoperative period (p=0.04), but there was no difference in patency. When a flow value of 50 ml/min was used as a cut-off point, patients with a higher flow had significantly better immediate patency (p=0.025). CONCLUSION: The adjuvant av-fistula neither caused any adverse effects nor had any effect on patency. |
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Authors:
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K Laurila; P S Aho; A Albäck; K Teittinen; I Kantonen; M Lepäntalo |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 29 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-03-07 Completed Date: 2005-05-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 425-8 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Helsinki University Central Hospital, PO Box 340, FIN-00029 HUS, Helsinki, Finland. katariina.laurila@hus.fi |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Shunt, Surgical* Blood Flow Velocity Blood Vessel Prosthesis Chi-Square Distribution Femoral Artery / surgery Finland Humans Ischemia / surgery*, ultrasonography Leg / blood supply*, ultrasonography Polytetrafluoroethylene Prospective Studies Statistics, Nonparametric |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
| Comments/Corrections | |
Comment In:
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Eur J Vasc Endovasc Surg. 2006 Apr;31(4):449; author reply 449-50
[PMID:
16549320
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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