Infrainguinal vein graft surveillance: The criteria for intervention

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• 作者：Deri M. Lewis ; William H. Schuh ; Catherine M. Wittgen
• 关键词：Hepatic-transplant ; Diagnostic imaging ; Color-Doppler US ; x-ray ; CT ; MRI
• 刊名：Journal of Vascular Nursing
• 出版年：2001
• 出版时间：December 2001
• 年：2001
• 卷：19
• 期：4
• 页码：117-121
• 全文大小：139 K

文摘

In most patients, infrainguinal vein grafts are commonly performed for limb-threatening ischemia. Once limb salvage has been achieved, most clinicians agree that regular appointments with the vascular team are important to monitor graft patency. However, the timing of these appointments and what defines an adequate examination remains debatable. The following cases illustrate the natural history and interventions performed in 2 such patients. A review of the literature and a commentary on surveillance strategies is provided to elucidate the advantages and disadvantages of currently available vascular laboratory testing. Recommendations also are made for the appropriate timing of intervention to revise these grafts. (J Vasc Nurs 2001;19:117-21)