Postoperative duplex scan surveillance of axillofemoral bypass grafts

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Presentation transcript:

Postoperative duplex scan surveillance of axillofemoral bypass grafts Scott E. Musicant, MD, Mary E. Giswold, MD, Christine J. Olson, MD, MPH, Gregory J. Landry, MD, Lloyd M. Taylor, MD, Richard A. Yeager, MD, James M. Edwards, MD, Gregory L. Moneta, MD Journal of Vascular Surgery Volume 37, Issue 1, Pages 54-61 (January 2003) DOI: 10.1067/mva.2003.43 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Comparison of mean PSV at proximal axillary anastomosis for both grafts remaining continuously patent and grafts with thrombosis during observation during first 12 postoperative months. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Comparison of mean PSV at midportion of axillofemoral graft for both grafts remaining continuously patent and grafts with thrombosis during observation during first 12 postoperative months. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Comparison of mean PSV at distal axillofemoral anastomosis for both grafts remaining continuously patent and grafts with thrombosis during observation during first 12 postoperative months. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Univariate analysis of mean PSV at midportion of axillofemoral component comparing last recorded study in patent grafts with last study obtained before occlusion in subsequently occluded grafts. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Univariate analysis of mean PSV at distal axillofemoral anastomosis comparing last recorded study in patent grafts with last study obtained before occlusion in subsequently occluded grafts. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 Univariate analysis of mean PSV at proximal axillary anastomosis comparing last recorded study in patent grafts with last study obtained before occlusion in subsequently occluded grafts. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 7 Percent risk of subsequent graft occlusion with midaxillofemoral PSV less than or greater than 80 cm/s. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 8 Multivariate odds ratio of graft failure with midaxillofemoral PSV less than 80 cm/s, outflow patency, blood pressure, ABI, smoking, presence of femoral-femoral bypass, and warfarin use, with 95 percent CIs. Journal of Vascular Surgery 2003 37, 54-61DOI: (10.1067/mva.2003.43) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions