Do normal early color-flow duplex surveillance examination results of infrainguinal vein grafts preclude the need for late graft revision? Marc A. Passman,

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Presentation transcript:

Do normal early color-flow duplex surveillance examination results of infrainguinal vein grafts preclude the need for late graft revision? Marc A. Passman, MD, Gregory L. Moneta, MD, Mark R. Nehler, MD, Lloyd M. Taylor, MD, James M. Edwards, MD, Richard A. Yeager, MD, Donald B. McConnell, MD, John M. Porter, MD Journal of Vascular Surgery Volume 22, Issue 4, Pages 476-484 (October 1995) DOI: 10.1016/S0741-5214(95)70017-X Copyright © 1995 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Timing of detection for duplex findings that led to surgical revision in 36 patients. Journal of Vascular Surgery 1995 22, 476-484DOI: (10.1016/S0741-5214(95)70017-X) Copyright © 1995 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Initial duplex velocity in location of 23 vein grafts that were subsequently revised for PSV ≥ 200 cm/sec. Journal of Vascular Surgery 1995 22, 476-484DOI: (10.1016/S0741-5214(95)70017-X) Copyright © 1995 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 High-grade intrinsic stenosis in proximal region of femoral to below-knee popliteal reverse saphenous vein graft. Lesion was first detected as PSV of 445 cm/sec in the proximal graft 14 months after initial bypass. Previous duplex evaluations at 1 week and 4, 7, and 10 months had shown PSVs between 96 and 178 cm/sec in this portion of graft. Journal of Vascular Surgery 1995 22, 476-484DOI: (10.1016/S0741-5214(95)70017-X) Copyright © 1995 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions