Long-term results of revised infrainguinal arterial reconstructions

Journal of Vascular Surgery
R C DarlingDhiraj M Shah

Abstract

Infrainguinal arterial reconstruction with vein as the conduit has been regarded as the gold standard within the past two decades. However, as many as 20% of patients undergoing these bypass grafting procedures may need secondary interventions for continued patency. Once these reconstructions have been altered, there is concern about the continued patency of these types of revascularizations. In this study, we evaluated the long-term patency of venous reconstructions that had been revised, compared them with those bypass grafting procedures that did not require any intervention, and analyzed long-term outcome. In the past 15 years, 3944 infrainguinal arterial reconstructions were completed with vein as the conduit. A total of 2780 were performed with the vein in situ, and 1164 were performed by using excised vein in a single piece or spliced configuration. Indication, risk factors, and patient demographics were evaluated. Grafts were stratified into revised and unrevised, in situ and excised; excised vein was then stratified into spliced and non-spliced. All grafts were followed with duplex ultrasound scans performed at 3, 6, and 12 months in the first year and every 6 months thereafter. Statistical analysis was performed by us...Continue Reading

References

Feb 1, 1990·Journal of Vascular Surgery·R M GreenJ A DeWeese
Dec 1, 1988·Journal of Vascular Surgery·D F BandykJ B Towne
Oct 1, 1995·Journal of Vascular Surgery·M T CapsD E Strandness
Oct 6, 1997·Journal of Vascular Surgery·K D RobinsonJ R Wheeler

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Citations

Mar 30, 2007·Journal of Vascular Surgery·Paul KreienbergR Clement Darling
Oct 24, 2007·Journal of Vascular Surgery·Ryan T HaginoBoulos Toursarkissian
Nov 24, 2004·Journal of Vascular Surgery·Louis L NguyenMichael Belkin
Jun 10, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E FagliaF Somalvico
Nov 15, 2005·Cardiovascular and Interventional Radiology·S Müller-HülsbeckT Jahnke

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