This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (28)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

George A. Peterkin, MD; Wayne W. LaMorte, MD, PhD; James O. Menzoian, MD

Arch Surg. 1988;123(10):1199-1201.

Abstract
• Recent reports suggest that intraoperatively measured runoff resistance can identify patients destined for early graft failure. We measured runoff resistance in 80 consecutive patients who had undergone infrainguinal bypass surgery, and periodically assessed graft patency. There were 57 femoropopliteal bypass grafts and 23 infrapopliteal bypasses. After 3,6, or 12 months, there was no significant difference in mean resistance between those grafts remaining patent and those that failed. Moreover, among patients with very high resistance (1.2 mm Hg/mL/min), 12 bypass grafts remained patent for more than one year. These results demonstrate that even patients with relatively high runoff resistance can undergo successful bypass grafting. Consequently, patients with measured or angiographic evidence of poor runoff should not be denied vascular reconstruction on this basis alone. We believe that graft failure is a multifactorial process in which the nature of the graft material, location of the distal anastomosis, runoff resistance, and a number of other factors are likely to play a role.

(Arch Surg 1988;123:1199-1201)

Author Affiliations
From the Division of Surgery, Sections of Surgical Research (Dr LaMorte) and Vascular Surgery (Drs Peterkin and Menzoian), Boston University Medical School.

Footnotes
Accepted for publication June 23, 1988.

Read before the 14th Annual Meeting of the New England Society for Vascular Surgery, Bretton Woods, NH, Sept 11, 1987.

Reprint requests to Division of Surgery, 75 E Newton St, D-5, Boston, MA 02118 (Dr Menzoian).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The challenges of treating peripheral arterial disease
Kugler and Rudofsky
Vasc Med 2003;8:109-114.
ABSTRACT  

Patency and Limb Salvage After Infrainguinal Bypass With Severely Compromised ("Blind") Outflow
Desai et al.
Arch Surg 2001;136:635-642.
ABSTRACT | FULL TEXT