Linked Life Data

1547072

Source:http://linkedlifedata.com/resource/pubmed/id/1547072

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1992-4-22
pubmed:abstractText
With close surveillance, deteriorating hemodynamics may signal a failing in situ bypass that can be salvaged by timely intervention. The purpose of this report is to summarize our experience with in situ bypass salvage using interventional radiology. Twenty-nine patients underwent arteriography following bypass occlusion or when an ankle/brachial index reduction of greater than 0.15 was detected between two consecutive office visits. Eighteen percutaneous transluminal dilatations were performed; one patient underwent repeat dilatation after 36 months, a second had four dilatations over 40 months. Ten significant arteriovenous fistulae were identified and were successfully embolized with 3 mm coils. One patient underwent excision of a retained valve. Six patients had initial fibrinolytic therapy for graft occlusion. The morbidity of these interventions was low; one bypass was disrupted following percutaneous transluminal dilatation but was successfully salvaged surgically. The average time from the original surgery to intervention was six months (one to 26 months); and the average follow-up after intervention was 22 months (three to 62 months) over which time patency was maintained in the majority. When a correctable problem is identified with appropriate vascular lab surveillance, interventional radiology is a useful alternative to surgery for bypass salvage.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0890-5096
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
25-30
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
Radiological intervention for the failing in situ vein bypass.
pubmed:affiliation
Toronto General Hospital, Division of Vascular Surgery, Ontario, Canada.
pubmed:publicationType
Journal Article