Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-5-9
pubmed:abstractText
Results of an adjuvant arteriovenous fistula (AVF) in pedal bypass surgery in the presence of poor status of the recipient artery, severely impaired intraoperative runoff, or revision for early failure and flow restitution were analyzed in a retrospective study. From January 1998 to December 2006, 24 adjuvant AVFs were constructed in autologous vein or composite pedal bypasses with low intraoperative bypass flow, poor status of the pedal artery, or during successful early bypass revision to prevent graft failure. All infrainguinal bypass operations were registered in a computerized database and prospectively followed. Pedal bypasses with adjunctive AVF were reviewed for fistula function, graft patency, limb salvage, and patient survival. Primary and secondary bypass patency rates at 1 year were 59% and 77%, respectively, with an AVF patency of 36%. Four legs were amputated despite a patent bypass with patent AVF on three occasions. The corresponding limb salvage rate was 65% at 1 year. Patient survival was 50% at 3 years. Adjuvant AVF constructed in grafts considered at high risk for early failure in pedal vein graft or composite bypass does not seem to prevent future graft failure. In patent bypasses the fistula has a significant tendency for spontaneous occlusion. It may be considered in the use of prosthetic composite pedal grafts in selected cases.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1615-5947
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
379-87
pubmed:meshHeading
pubmed-meshheading:18362062-Adult, pubmed-meshheading:18362062-Aged, pubmed-meshheading:18362062-Aged, 80 and over, pubmed-meshheading:18362062-Amputation, pubmed-meshheading:18362062-Arteriovenous Shunt, Surgical, pubmed-meshheading:18362062-Blood Vessel Prosthesis Implantation, pubmed-meshheading:18362062-Female, pubmed-meshheading:18362062-Graft Occlusion, Vascular, pubmed-meshheading:18362062-Humans, pubmed-meshheading:18362062-Ischemia, pubmed-meshheading:18362062-Leg, pubmed-meshheading:18362062-Limb Salvage, pubmed-meshheading:18362062-Male, pubmed-meshheading:18362062-Middle Aged, pubmed-meshheading:18362062-Patient Selection, pubmed-meshheading:18362062-Peripheral Vascular Diseases, pubmed-meshheading:18362062-Reoperation, pubmed-meshheading:18362062-Retrospective Studies, pubmed-meshheading:18362062-Risk Assessment, pubmed-meshheading:18362062-Time Factors, pubmed-meshheading:18362062-Treatment Failure, pubmed-meshheading:18362062-Vascular Patency, pubmed-meshheading:18362062-Veins
pubmed:articleTitle
Questionable value of adjuvant arteriovenous fistula in pedal bypass at high risk for early failure.
pubmed:affiliation
Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg-University School of Medicine, Mainz, Germany. neufang@mail.uni-mainz.de
pubmed:publicationType
Journal Article