The impact of color duplex surveillance on the outcome of lower limb bypass with segments of arm veins R.T.A. Chalmers, MB, ChB, FRCS(Ed), J.J. Hoballah,

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Presentation transcript:

The impact of color duplex surveillance on the outcome of lower limb bypass with segments of arm veins R.T.A. Chalmers, MB, ChB, FRCS(Ed), J.J. Hoballah, MD, T.F. Kresowik, MD, FACS, W.J. Sharp, MD, FACS, A.Y. Synn, MD, E. Miller, RVT, J.D. Corson, MB, ChB, FRCS (Eng), FACS Journal of Vascular Surgery Volume 19, Issue 2, Pages 279-288 (February 1994) DOI: 10.1016/S0741-5214(94)70103-2 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Angiogram of middle third of a composite cephalic/basilic/ saphenous reversed vein bypass from the common femoral artery to the peroneal artery. The area of stenosis (arrow) was detected initially on duplex scan 4 months after operation (the PSV within the stenosis was 447 cm/sec compared with 79 cm/sec in adjacent segments). An interposition vein graft corrected the velocity abnormality. Journal of Vascular Surgery 1994 19, 279-288DOI: (10.1016/S0741-5214(94)70103-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Angiogram shows the distal anastomosis of a composite saphenous/cephalic reversed vein profunda femoris to posterior tibial artery bypass. Duplex scan had demonstrated markedly increased distal graft PSVs after 16 months (>520 cm/sec, compared with 56 cm/sec and 73 cm/sec in the adjacent vein segments). The lesion was treated with an interposition vein graft (see Table II). Journal of Vascular Surgery 1994 19, 279-288DOI: (10.1016/S0741-5214(94)70103-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions