This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (9)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Paul M. Walker, MD, FRCS(C); K. Wayne Johnston, MD, FRCS(C), FRCS

Arch Surg. 1980;115(8):912-915.

Abstract
• We have measured changes that occur in resting and hyperemic calf muscle blood flow throughout the operative course of nine patients undergoing aortoiliac grafting for peripheral arterial occlusive disease. There were four patients with combined aortoiliac and femoropopliteal disease, and five patients with isolated aortoiliac disease. In all patients, reactive hyperemia was absent when the aortic cross clamp was removed. Postoperatively, calf muscle blood flow did not increase substantially for 24 hours regardless of the presence or absence of coexisting femoropopliteal occlusive disease. Knowing that calf muscle blood flow does not increase immediately postoperatively may explain why pulses may not be palpable immediately and why the limb may remain cool for several hours. Also, this reaffirms that it is best to delay any decision on distal femoropopliteal repair until the outcome of the proximal reconstruction can be assessed.

(Arch Surg 115:912-915, 1980)

Author Affiliations
From the Department of Surgery, Toronto General Hospital and the University of Toronto.

Footnotes
Accepted for publication March 5, 1980.

Reprint requests to Room uw 1-123, Toronto General Hospital, 101 College St, Toronto, Ontario, Canada M5G 1L7 (Dr Johnston).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Measurement of Blood Pressure, Blood Flow and Flow Velocity in Arterial Reconstruction of the Lower Extremity
Shionoya et al.
ANGIOLOGY 1983;34:244-256.
ABSTRACT