التفاصيل البيبلوغرافية
| العنوان: |
Surveillance Versus Nonsurveillance for Femoro-Popliteal Bypass Grafts. |
| المؤلفون: |
Fasih, T.1, Rudol, G.1, Ashour, H.1, Mudawi, A.1, Bhattacharya, V.1 vish.bhattacharya@ghnt.nhs.uk |
| المصدر: |
Angiology. May/Jun2004, Vol. 55 Issue 3, p251-256. 6p. |
| مصطلحات موضوعية: |
*PATELLOFEMORAL joint, *ISCHEMIA, *GRAFT rejection, *MEDICAL experimentation on humans, *CLINICAL trials, *POSTOPERATIVE period |
| مستخلص: |
This is a study of 97 patients who underwent 106 femoropopliteal bypass grafts (9 bilateral bypasses) for short-distance claudication and critical ischemia. Patients were divided into 2 groups. The first group (n = 64) was followed up by use of duplex scans. The second group (n = 42) was followed up in clinic without duplex surveillance. Twenty-three patients from the surveillance group developed stenoses of the grafts. Of these, 14 underwent successful angioplasty. A total of 43 grafts became blocked. Graft occlusion was significantly more common in the nonsurveillance group (n = 29) as compared to the surveillance group (n = 14) after both 1 and 3 years of observation (p = 0.001). Patients with critical ischemia showed a higher rate of graft occlusion than the claudicants (p = 0.0075). Sixteen patients in the nonsurveillance group underwent above/below-knee amputation compared to I in the surveillance group. There was no significant difference in the mortality rate in the 2 groups. Graft surveillance helped to improve patency of grafts by identifying the correctable lesions. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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