Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1989-12-6
|
| pubmed:abstractText |
Strictures in saphenous vein grafts represent a preventable cause of graft failure, but these lesions may remain undetected by standard clinical methods until occlusion occurs. A study has been undertaken using intravenous digital subtraction angiography (I.V. DSA) to determine the incidence of asymptomatic strictures in a series of femoro-popliteal vein grafts and all lesions detected have been followed-up without treatment to assess their effect on patency rates. Eighty grafts in 69 asymptomatic patients were examined by I.V. DSA at a variable time postoperatively and again after a mean interval of 13 months. At the first examination a total of 30 strictures were found in 22 grafts (27.5%). At the second examination 5 the 22 strictured grafts (22.7%) had occluded. In contrast, only 4 of the 58 non-strictured grafts (6.9%) had occluded and this difference was statistically significant (chi 2 = 4.0 P less than 0.05). Six new strictures were detected, 2 in previously normal grafts and 4 in already strictured grafts, giving a total of 36 lesions altogether. The finding of a 27.5% stricture rate in asymptomatic patients, carrying a 3-fold increase in occlusion risk leads to the conclusion that screening of these grafts is essential. Sixty-five percent of strictures remained stable and asymptomatic, and this indicates that secondary intervention should be on a selective basis.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0950-821X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
3
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
389-92
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2806569-Angiography, Digital Subtraction,
pubmed-meshheading:2806569-Constriction, Pathologic,
pubmed-meshheading:2806569-Female,
pubmed-meshheading:2806569-Femoral Artery,
pubmed-meshheading:2806569-Follow-Up Studies,
pubmed-meshheading:2806569-Graft Occlusion, Vascular,
pubmed-meshheading:2806569-Humans,
pubmed-meshheading:2806569-Male,
pubmed-meshheading:2806569-Middle Aged,
pubmed-meshheading:2806569-Popliteal Artery,
pubmed-meshheading:2806569-Saphenous Vein
|
| pubmed:year |
1989
|
| pubmed:articleTitle |
Asymptomatic strictures in femoro-popliteal vein grafts.
|
| pubmed:affiliation |
Department of Vascular Surgery, Broadgreen Hospital, Liverpool U.K.
|
| pubmed:publicationType |
Journal Article
|