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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1989-8-14
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pubmed:abstractText |
In a prospective, multicentre trial, 59 patients with an ischaemic limb and an "isolated" popliteal segment on angiography were randomised to undergo infrainguinal bypass grafting to either the popliteal segment or to a reconstituted distal vessel lower in the calf. Limb salvage was attained with 88% of the femoro-popliteal grafts and 80% of the femoro-distal grafts. There was no difference in the one year graft patency rate between the femoro-popliteal group (79%) and the femoro-distal group (70%). Mean postoperative increase in ankle/brachial pressure index was similar in the two groups despite the presence of occluded or significantly diseased vessels distal to the popliteal anastomoses. Technical difficulties were encountered in 8% of the popliteal group and 24% of the distal group. Femoro-distal bypass grafting confers no apparent benefit over femoral bypass grafting into a patent popliteal segment, even though the popliteal run-off is impaired or occluded.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0950-821X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
203-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2663546-Aged,
pubmed-meshheading:2663546-Arterial Occlusive Diseases,
pubmed-meshheading:2663546-Blood Vessel Prosthesis,
pubmed-meshheading:2663546-Female,
pubmed-meshheading:2663546-Femoral Artery,
pubmed-meshheading:2663546-Humans,
pubmed-meshheading:2663546-Leg,
pubmed-meshheading:2663546-Male,
pubmed-meshheading:2663546-Multicenter Studies as Topic,
pubmed-meshheading:2663546-Polytetrafluoroethylene,
pubmed-meshheading:2663546-Popliteal Artery,
pubmed-meshheading:2663546-Prospective Studies,
pubmed-meshheading:2663546-Saphenous Vein
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pubmed:year |
1989
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pubmed:articleTitle |
Femoro-popliteal versus femoro-distal bypass grafting for limb salvage in patients with an "isolated" popliteal segment.
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pubmed:affiliation |
Department of Vascular Surgery, Royal Victoria Hospital, Bournemouth, U.K.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Multicenter Study
|