John D. L. Bry, MD, Paula A. Muto, MD, Thomas F. O'Donnell, MD, Lois A

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Presentation transcript:

The clinical and hemodynamic results after axillary – to – popliteal vein valve transplantation John D.L. Bry, MD, Paula A. Muto, MD, Thomas F. O'Donnell, MD, Lois A. Isaacson, RN, BSN Journal of Vascular Surgery Volume 21, Issue 1, Pages 110-119 (January 1995) DOI: 10.1016/S0741-5214(95)70249-0 Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Individual postoperative follow-up of 15 patients that underwent axillary to popliteal vein valve transplantation. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 In this series, probability of remaining free of recurrent venous ulceration is in excess of 60% after 5 years. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Postoperative air plethysmographic results: Boxed area represents normal range in our laboratory. Solid bar represents mean value for patients with stage III disease in our laboratory. Dots represent plotted individual patient values. A, There was one value for EF in normal range, and no significant difference between mean postoperative EF and mean value for all patients with stage III disease. B, Only one patient had VFI in normal range, whereas mean value averaged 6.8 ml/sec. All values were below 10.3 ml/second, mean value for patients with stage III disease. C, RVF correlates with invasively measured venous pressures. Four of 10 values were in normal to near-normal range. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 No patients had valve closure times at popliteal level within normal range. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Sequential APG studies in seven patients up to 8 years after VVT revealed no significant hemodynamic deterioration when restudied 2 years later in 1993. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 EF is correlated with VFI. All but one patient had hemodynamic values consistent with probability of ulceration of 30% or less. Journal of Vascular Surgery 1995 21, 110-119DOI: (10.1016/S0741-5214(95)70249-0) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions