Balloon angioplasty for revision of failing lower extremity bypass grafts

Journal of Vascular Surgery
Haitham AliAyman Hasaballah

Abstract

The aim of this study was to evaluate the efficacy and safety of balloon angioplasty as the primary method of intervention in patients with color duplex ultrasound documented failing bypass grafts and to determine factors that may affect the patency of lower extremity bypass grafts revised by percutaneous transluminal angioplasty (PTA). All consecutive patients who underwent lower extremity bypass grafts from January 2009 to December 2013 were enrolled in a graft surveillance program. Patients identified as having failing grafts underwent arteriography to confirm the diagnosis with a view to concomitant treatment of the lesion using balloon angioplasty. Procedural success was defined as <30% residual stenosis. Treatment failure was defined as target lesion restenosis or graft occlusion. Descriptive and life-table analyses were performed. PTA was used to revise 96 failing grafts in 90 patients. Mean age was 65.8 years (range, 50-88 years), 64% were male, and 66% were symptomatic. Mean follow-up was 18.5 months (range, 3-24 months). Twenty-four grafts (25%) underwent repeat angioplasty for restenosis. Grafts with multiple lesions (P = .009) and grafts aged <6 months from the index operation (P = .004) were the only graft-related ...Continue Reading

References

Dec 21, 1979·JAMA : the Journal of the American Medical Association·J R AlpertB Roberts
Jan 1, 1981·Annals of Surgery·A D WhittemoreJ A Mannick
Apr 1, 1996·Journal of Vascular Surgery·D H PorterD Kim
Aug 1, 1997·American Journal of Surgery·A T GentileJ D Hughes
Sep 16, 1998·American Journal of Surgery·M J DoughertyD A DeLaurentis
Jan 12, 1999·Journal of Vascular Surgery·A J AvinoA Cantor
Nov 28, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Y TongJ P Royle
Mar 6, 2003·Journal of Vascular Surgery·Brian L FerrisRobert Knox
Jan 27, 2004·Journal of Vascular Surgery·Gregory A CarlsonTimothy F Kresowik
Apr 9, 2004·Journal of Vascular Surgery·Karthikeshwar Kasirajan, Peter A Schneider
Nov 24, 2004·Journal of Vascular Surgery·Louis L NguyenMichael Belkin
Feb 4, 2006·Vascular and Endovascular Surgery·Matthew J EagletonThomas W Wakefield
Aug 29, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G PedersenS Aune
May 25, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R MofidiA R W Dawson
Sep 4, 2007·Journal of Vascular Surgery·Robert Garvin, Thomas Reifsnyder
Oct 24, 2007·Journal of Vascular Surgery·Ryan T HaginoBoulos Toursarkissian
Mar 29, 2008·Journal of Vascular Surgery·Peter A SchneiderNicolas Nelken
Nov 26, 2008·Journal of Vascular Surgery·Hector F SimosaMarc L Schermerhorn
Dec 3, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R MofidiP A Stonebridge
Jun 27, 2009·Vascular and Endovascular Surgery·Joshua A EisenbergMatthew J Dougherty
Dec 17, 2009·Seminars in Vascular Surgery·Thomas S Monahan, Christopher D Owens
Dec 17, 2009·Seminars in Vascular Surgery·Scott A Berceli

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Citations

Oct 24, 2015·Journal of Vascular Surgery·Klaus LinniThomas Hölzenbein
Jun 6, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K MathurJ D Hopkins
May 20, 2016·Nature Reviews. Cardiology·Margreet R de VriesPaul H A Quax
Oct 17, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Taira KobayashiShinya Takahashi
Apr 10, 2017·Annals of Vascular Surgery·Kimihiro IgariYoshinori Inoue
Sep 3, 2021·Journal of cardiology·Mitsuyoshi TakaharaNobuyoshi Azuma

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