Document Detail


The role of simple non-invasive testing in infra-inguinal vein graft surveillance.
MedLine Citation:
PMID:  2009979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective vein graft screening programme was established in order to improve graft patency in the period 1-12 months after operation. Patient assessment consisted of ankle:brachial pressure index (ABPI) measurement before and after exercise, and Duplex scanning. Thirty-nine grafts have been followed up, with 19 stenoses detected in 18 grafts (46%) using Duplex. Of these 18 grafts, six had a serial fall in resting ABPI, median 0.14 (range 0.11-0.33), and nine had a post-exercise ABPI fall, median 0.19 (range 0.13-0.4). The remaining three had a normal ABPI but were unable to exercise. Fifteen grafts have been treated, 12 by percutaneous transluminal angioplasty (PTA), and three by surgery. One stenosis treated with PTA recurred within 3 months and was repaired with a vein patch. Since screening was implemented no grafts in the programme have occluded. This study indicates that simple ABPI measurements can be used to screen "at risk" grafts for evaluation with Duplex scanning, without jeopardising graft patency.
Authors:
J A Brennan; A K Walsh; J D Beard; A A Bolia; P R Bell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  5     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-05-09     Completed Date:  1991-05-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  13-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Leicester Royal Infirmary, U.K.
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MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / surgery*
Arteriovenous Shunt, Surgical
Blood Pressure Determination / methods
Exercise Test
Graft Occlusion, Vascular / ultrasonography*
Humans
Leg / blood supply
Popliteal Artery / surgery
Regional Blood Flow / physiology
Saphenous Vein / transplantation
Vascular Patency / physiology*

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


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