Limitations of percutaneous transluminal angioplasty in the treatment of femoro-distal graft stenoses

Thompson, J. F.; McShane, M.D.; Gazzard, V.M.; Clifford, P. C.; Chant, A.D.B.

doi:10.1016/s0950-821x(89)80084-2

Cited by 17 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There have been many attempts in the last 10 to 15 years at identifying the most appropriate method for treating failed or failing bypass grafts. [3][4][5]8,9,11,14 Options have included surgical thrombectomy with or without revision, repeat bypass grafting, percutaneous thrombolysis with or without PTA, and, as a last resort, amputation. Mixed results have been reported with these various techniques.…”

Section: Discussionmentioning

confidence: 99%

Lysis/balloon angioplasty versus thrombectomy/ open patch angioplasty of failed femoropopliteal polytetrafluoroethylene bypass grafts

AbuRahma¹,

Hopkins²,

Wulu³

et al. 2002

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Lysis/balloon angioplasty versus thrombectomy/ open patch angioplasty of failed femoropopliteal polytetrafluoroethylene bypass grafts

AbuRahma¹,

Hopkins²,

Wulu³

et al. 2002

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…In der Literatur finden sich erhebliche Unterschiede bei Angioplastien der kruralen Arterien zur Therapie verschlossener arterieller Bypässe. Thompson behandelte 14 Stenosen bei Bypass-Verschlüssen durch eine PTA, welche allerdings nach 6 Monaten chirurgisch revidiert werden mussten [25]. Moody u. a. behandelten 8 Stenosen durch PTA und beschrieben nachfolgend 10 chirurgische Revisionen [14].…”

Section: Diskussionunclassified

Die Angioplastie der distalen Anastomose und Run-off-Arterien bei verschlossenen infrainguinalen Bypässen

Sigala

Baunach²,

Menenakos³

et al. 2006

Zentralbl Chir

View full text Add to dashboard Cite

show abstract

Graft stenosis: Justification for 1-year surveillance

Taylor

Wolfe

Tyrrell

et al. 1990

Journal of British Surgery

View full text Add to dashboard Cite

In all, 412 femorodistal grafts (femoropopliteal and femorocrural), performed between 1984 and 1988, have been prospectively studied at 6 weeks and 3, 6, 9 and 12 months after operation and at intervals of 6 months thereafter by duplex scanning and intravenous digital subtraction angiography. The overall incidence of stenoses was 16 per cent (femorocrural 20 per cent, femoropopliteal 15 per cent). All stenoses were detected in the first year after operation and none occurred after this. Twenty-four non-haemodynamically significant stenoses were not treated but were followed at intervals of 3 months. Forty-two haemodynamically significant stenoses were detected and secondary procedures were performed in 30 grafts at a mean of 8 months after surgery. Thirteen had percutaneous balloon dilatation and six (46 per cent) remain patent at a mean follow-up of 22 months. Two grafts which occluded within 30 days and three which restenosed at a mean of 8 months had tertiary procedures. Seventeen grafts were surgically revised, nine with patch grafts and eight with bypass grafts. Eleven of these remain patent at a mean follow-up of 30 months. One occluded immediately and three occluded late. Two grafts which restenosed at a mean of 19 months had successful tertiary procedures. In total, seven grafts had tertiary procedures (two had balloon dilatation and five had surgery) and six of these remain patent at a mean follow-up of 13.5 months. In conclusion, 37 procedures have been performed on 30 grafts, of which 23 (77 per cent) remain patent at a mean follow-up of 12 months. Approximately one-quarter of femorodistal grafts will develop graft-related stenoses and graft surveillance is worthwhile, but only for the first year after operation.

show abstract

Limitations of percutaneous transluminal angioplasty in the treatment of femoro-distal graft stenoses

Cited by 17 publications

References 10 publications

Lysis/balloon angioplasty versus thrombectomy/ open patch angioplasty of failed femoropopliteal polytetrafluoroethylene bypass grafts

Lysis/balloon angioplasty versus thrombectomy/ open patch angioplasty of failed femoropopliteal polytetrafluoroethylene bypass grafts

Die Angioplastie der distalen Anastomose und Run-off-Arterien bei verschlossenen infrainguinalen Bypässen

Graft stenosis: Justification for 1-year surveillance

Contact Info

Product

Resources

About