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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1987-6-9
|
| pubmed:abstractText |
One hundred two femoral-infrapopliteal bypasses, in which reversed autogenous saphenous vein grafts were used, were performed from January 1978 to July 1984, in 94 patients with severe claudication (14%) or threatened limb loss (86%). Follow-up examinations at 3-month intervals during the first 18 months and at 6-month intervals thereafter were performed to document the return of ischemic symptoms or loss of peripheral pulses. Ankle pressure index and pulse volume recordings were also measured. A decrease in ankle pressure index equal to or greater than 0.2 or a pulse volume recording decrease of 5 mm or more with or without confirmatory symptoms were indications for repeat arteriography. Twenty-two primary graft or anastomotic stenoses were discovered in 19 grafts during follow-up. Seventy-eight percent of these lesions were treated primarily by percutaneous transluminal angioplasty and the remainder were treated by short proximal interposition grafts or patch graft angioplasty. Twenty-five grafts occluded during follow-up and all of these were considered to have failed for purpose of life-table analysis. Stenotic lesions, which were corrected before occlusion, were listed as continuously patent under secondary patency and as failed under primary patency life-table analysis. The secondary graft patency rate was 70% at 5 years, which was significantly higher (p less than 0.01) than the primary patency rate (47%), which was obtained without intervention. This 23% differential represents graft salvage achieved by careful surveillance and is reflected not only by improved patency but also by high limb salvage rates (86%) observed at 5 years.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
0741-5214
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
5
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
755-61
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:3573215-Constriction, Pathologic,
pubmed-meshheading:3573215-Femoral Artery,
pubmed-meshheading:3573215-Follow-Up Studies,
pubmed-meshheading:3573215-Graft Occlusion, Vascular,
pubmed-meshheading:3573215-Humans,
pubmed-meshheading:3573215-Ischemia,
pubmed-meshheading:3573215-Leg,
pubmed-meshheading:3573215-Popliteal Artery,
pubmed-meshheading:3573215-Saphenous Vein,
pubmed-meshheading:3573215-Time Factors,
pubmed-meshheading:3573215-Transplantation, Autologous,
pubmed-meshheading:3573215-Vascular Patency
|
| pubmed:year |
1987
|
| pubmed:articleTitle |
Improved patency in reversed femoral-infrapopliteal autogenous vein grafts by early detection and treatment of the failing graft.
|
| pubmed:publicationType |
Journal Article
|