PMID: 9166265May 1, 1997Paper

Residual arteriovenous fistulae after "closed" in situ bypass grafting: an overrated problem

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
L C van DijkC H Wittens

Abstract

To prospectively evaluate the incidence and consequences of residual arteriovenous (AV)-fistulae after "closed" in situ bypass grafting. In 34 patients, 35 "closed" in situ bypasses were performed. Postoperative assessment of residual AV-fistulae and bypass patency was performed with duplex scanning. Postoperative mortality was 3%. During 35 "closed" in situ bypass procedures 216 side branches were coil embolised. Postoperatively 39 AV-fistulae were detected (15% of the total number of 216 + 39 = 255 side branches). Of these, 13 (5%) closed spontaneously. Fifteen (6%) remained unchanged and 11 (4%) were treated. In three patients four asymptomatic residual AV-fistulae were treated. In four patients seven symptomatic AV-fistulae were treated for: decreased distal bypass flow in one; persistent leg oedema in one; pain and redness of the skin in two. One-year primary patency was 80% (SE 8.4%). Residual AV-fistulae were detected in none of six bypass occlusions during follow-up. Residual AV-fistulae detected following "closed" in situ bypass grafting only need treatment if they are symptomatic, which is uncommon.

References

Oct 1, 1988·Annals of Surgery·R P LeatherJ L Kaufman
Jun 1, 1988·Journal of Vascular Surgery·M E SchwartzH Schanzer
Aug 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L C van DijkC H Wittens
May 1, 1994·Journal of Vascular Surgery·D F CikritB Solooki
Mar 1, 1994·European Journal of Vascular Surgery·C H WittensH van Urk

❮ Previous
Next ❯

Citations

May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nomdo S RenkenLukas C van Dijk
May 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L C van DijkC H Wittens

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Related Papers

European Journal of Vascular Surgery
C H WittensH van Urk
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
R L DalmanE J Harris
Vestnik khirurgii imeni I. I. Grekova
V M Sedov, R A Azovtsev
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
L C van DijkC H Wittens
© 2021 Meta ULC. All rights reserved