Vein graft lesions: Time of onset and rate of progression

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Presentation transcript:

Vein graft lesions: Time of onset and rate of progression Michael T. Caps, MD, K. Cantwell-Gab, RVT, Robert O. Bergelin, MS, D.Eugene Strandness, MD  Journal of Vascular Surgery  Volume 22, Issue 4, Pages 466-475 (October 1995) DOI: 10.1016/S0741-5214(95)70016-1 Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Life-table analysis of primary, cumulative assisted primary, and cumulative secondary patency rates. Standard error was less than 10% for all plots through 3 years. Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Frequency of lesion progression and revision in 31 grafts with multiple lesions. Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Anatomic frequency distribution of 141 primary lesions detected. Percent requiring revision (Rx) is indicated for each location. (Prox., Proximal; Anas., anastomosis; Dst., distal.) Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Cumulative percent and frequency distribution of time of initial detection of vein graft lesion through 5 years (98 lesions in 46 grafts). Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Life-table analysis of incidence of progression, regression, and intervention in 98 vein graft lesions. Standard error was less than 10% for all plots through 18 months. Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Six-month and 1-year outcome (degree of stenosis or revision) of 98 vein graft lesions according to lesion severity at time of initial detection. At 6 months, incidence of regression was significantly less (7.1%) for lesions with 50% or greater diameter reduction than for those with less than 50% diameter reduction (37.5.0%) (p < 0.05, χ2 test). (Rx, Revision.) Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Six-month outcome of de novo versus residual lesions according to lesion severity at time of initial detection. For lesions with 20% to 49% initial diameter reduction, incidence of progression and revision at 6 months was significantly higher for residual lesions (p < 0.05, χ2 test). (Rx, Revision.) Journal of Vascular Surgery 1995 22, 466-475DOI: (10.1016/S0741-5214(95)70016-1) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions