Efficacy of duplex ultrasound surveillance after infrainguinal vein bypass may be enhanced by identification of characteristics predictive of graft stenosis development

Tinder, Chelsey N.; Chavanpun, Joe P.; Bandyk, Dennis F.; Armstrong, Paul A.; Back, Martin R.; Johnson, Brad; Shames, Murray L.

doi:10.1016/j.jvs.2008.04.053

Cited by 79 publications

(31 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The amount of redo bypasses was also high (38%). In a recent series by Tinder et al, 30 redo bypass was found to be a risk factor to graft revision. Our early (30-day) graft failure and subsequent amputation rates for arm vein grafts were quite high, at 4.6%.…”

Section: Discussionmentioning

confidence: 92%

Arm vein conduit vs prosthetic graft in infrainguinal revascularization for critical leg ischemia

Arvela

Söderström

Albäck

et al. 2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 92%

Arm vein conduit vs prosthetic graft in infrainguinal revascularization for critical leg ischemia

Arvela

Söderström

Albäck

et al. 2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…We advocate close surveillance during the first year, with duplex ultrasound scanning following the protocol suggested by Bandyk and others at 1, 3, 6, and 12 months post-bypass. 46 If there are abnormal findings, additional observation points may be warranted. Beyond 1 year, scans are done twice a year at least until year 3, and annually thereafter.…”

mentioning

confidence: 99%

Challenges of distal bypass surgery in patients with diabetes: Patient selection, techniques, and outcomes

Conte

2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

Surgical revascularization of the lower extremity using bypass grafts to distal target arteries is an established, effective therapy for advanced ischemia. Recent multicenter data confirm the primacy of autogenous vein bypass grafting, yet there remains significant heterogeneity in the utilization, techniques, and outcomes associated with these procedures in current practice. Experienced clinical judgment, creativity, technical precision, and fastidious postoperative care are required to optimize long-term results. The patient with diabetes and a critically ischemic limb offers some specific challenges; however, numerous studies demonstrate that the outcomes of vein bypass surgery in this population are excellent and define the standard of care. Technical factors, such as conduit, and inflow/outflow artery selection play a dominant role in determining clinical success. An adequate caliber, good quality great saphenous vein (GSV) is the optimal graft for distal bypass in the leg. Alternative veins perform acceptably in the absence of GSV, whereas prosthetic and other non-autogenous conduits have markedly inferior outcomes. Graft configuration (reversed, non-reversed, or in situ) seems to have little influence on outcome. Shorter grafts have improved patency. Inflow can be improved by surgical or endovascular means if necessary, and distal-origin grafts (eg, those arising from the superficial femoral or popliteal arteries) can perform as well as those originating from the common femoral artery. The selected outflow vessel should supply unimpeded runoff to the foot, conserve conduit length, allow for adequate soft tissue coverage of the graft, and simplified surgical exposure. This review summarizes the available data linking patient selection and technical factors to outcomes, and highlights the importance of surgical judgment and operative planning in the current practice of infrainguinal bypass surgery.

show abstract

“…Approximately one half of patients who have open or endovascular intervention for CLI will require a secondary intervention [33]. Failures of infrainguinal bypasses with high-grade stenosis left untreated will lead to immediate amputation in up to one quarter of patients [34].…”

Section: Reinterventionmentioning

confidence: 99%

Surveillance and follow-up after revascularization for critical limb ischemia

Barleben

Bandyk

2014

Seminars in Vascular Surgery

Self Cite

View full text Add to dashboard Cite

Efficacy of duplex ultrasound surveillance after infrainguinal vein bypass may be enhanced by identification of characteristics predictive of graft stenosis development

Cited by 79 publications

References 17 publications

Arm vein conduit vs prosthetic graft in infrainguinal revascularization for critical leg ischemia

Arm vein conduit vs prosthetic graft in infrainguinal revascularization for critical leg ischemia

Challenges of distal bypass surgery in patients with diabetes: Patient selection, techniques, and outcomes

Surveillance and follow-up after revascularization for critical limb ischemia

Contact Info

Product

Resources

About