A clinical method for the detection of arteriovenous fistulas during in situ great saphenous vein bypass

Shearman, C.P.; Gannon, Mark Xavier; Gwynn, B.R.; Simms, M. H.

doi:10.1016/0741-5214(86)90172-2

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1999

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Cited by 20 publications

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“…An AVF/PSV ratio (PSV proximal/PSV distal to the AVF) of more than 1 proximal was considered to indicate an AVF that adversely influenced in situ vein hemodynamics through a shunting of blood to the deep venous system. 10 Occlusive superficial phlebitis as a result of an unligated branch was not found to be an indication for ligature. In addition to the duplex scan, the ankle brachial ratio (ABI) was calculated and a clinical assessment of graft function was made.…”

mentioning

confidence: 96%

Do residual arteriovenous fistulae after in situ saphenous vein bypass grafting influence patency?

Lundell

Nyborg

1999

Journal of Vascular Surgery

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mentioning

confidence: 96%

Do residual arteriovenous fistulae after in situ saphenous vein bypass grafting influence patency?

Lundell

Nyborg

1999

Journal of Vascular Surgery

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Aggressive arterial reconstruction for critical lower limb ischaemia

Hickey

Thomson

Shearman

et al. 1991

Journal of British Surgery

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A consecutive series of 315 patients underwent arterial reconstruction for 329 critically ischaemic lower limbs over a 5-year period. Patients were not excluded from limb salvage surgery on the basis of poor run-off on preoperative angiography. Femorocrural bypass to a single calf vessel was required in 239 limbs (73 per cent); the 30-day cumulative mortality rate was 7 per cent, rising to 41 per cent at 5 years. Cumulative graft patency at 30 days, 1 year, 2 years and 5 years was 96, 85, 84 and 82 per cent respectively and was independent of the level of reconstruction. In situ long saphenous vein was the conduit of choice for distal bypass but, when this was absent, satisfactory results were obtained with arm vein or composite vein grafts. Acceptable results can be obtained for reconstructive surgery without preoperative angiographic selection of patients. An aggressive approach to limb salvage is therefore justified.

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