THE DIFFERENCES IN EARLY HEMODYNAMIC-RESPONSE BETWEEN SURGERY AND ANGIOPLASTY AFTER SUCCESSFUL REOPENING OF THE SUPERFICIAL FEMORAL-ARTERY

被引:6
作者
KARANJIA, ND [1 ]
LOOSEMORE, TM [1 ]
RAY, SA [1 ]
BUCKENHAM, TM [1 ]
TAYLOR, RS [1 ]
DORMANDY, JA [1 ]
机构
[1] ST GEORGE HOSP,BLACKSHAW RD,LONDON SW17 0QT,ENGLAND
来源
EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 06期
关键词
FEMOROPOPLITEAL BYPASS; ANGIOPLASTY; DOPPLER PRESSURE INDEX; HEMODYNAMICS;
D O I
10.1016/S0950-821X(05)80723-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In 40 patients with superficial femoral artery disease we prospectively evaluated the effect of angioplasty (n = 20) or femoropopliteal bypass (n = 20) on the ankle-brachial pressure index (ABI) using the Doppler ultrasound probe. The ABI was measured as a baseline 1 day before the procedure, 1 day after the procedure and 30 days later. In the angioplasty group the baseline ABI was 0.57 (0.11), increasing to 0.74 (0.26) 1 day postangioplasly and increasing further to 0.88 (0.26) after 30 days. The increase in ABI over 30 days was significantly greater than the increase over 1 day. In the femoropopliteal bypass group the baseline ABI was lower at 0.46 (0.17). However 1 day postoperatively it had increased to 0.92 (0.2) with almost no further increase at 30 days [0.95 (0.17)]. We concluded that by contrast to a surgical bypass where there was a large improvement in the ABI over the first day, the ABI following angioplasty continued to improve significantly beyond the first day. © 1993 Grune & Stratton Ltd.
引用
收藏
页码:717 / 719
页数:3
相关论文
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