THE LONG-TERM OUTCOME OF INFRAINGUINAL VEIN GRAFT SURVEILLANCE

被引：9

作者：

DUNLOP, P

HARTSHORNE, T

BOLIA, A

BELL, PRF

LONDON, NJM

机构：

[1] Department of Surgery, Leicester Royal Infirmary, Leicester, Clinical Sciences Building

[2] Department of Radiology, Leicester Royal Infirmary, Leicester, Clinical Sciences Building

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 10卷 / 03期

关键词：

VEIN GRAFT; SURVEILLANCE; INTIMAL HYPERPLASIA;

D O I：

10.1016/S1078-5884(05)80056-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objectives: Vein graft surveillance is of proven benefit in improving graft patency at least in the first year after arterial bypass surgery. The aim of this study teas to look at the longer term outcome of a vein graft surveillance programme on graft patency. Methods: One hundred and twelve consecutive vein grafts in 106 patients were prospectively entered into a win graft surveillance programme. The median (range) follow up tons 34 (1-76) months. Results: There were 23 (21%) early (less than 1 month) failures and a further 15 grafts occluded during follow up. The primary, primary assisted and secondary patencies at 4 years were 27%, 59% and 67% respectively Thirty-eight grafts (34%) developed at least one stenosis at a median interval of 5 months after the operation. Eight (21%) of these stenoses occurred more than 12 months after surgery and would have been missed had surveillance been curtailed after 1 year. Conclusions: The benefits of graft surveillance extend beyond one year and surveillance should therefore continue indefinitely.

引用

页码：352 / 355

页数：4

共 24 条

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