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- Title
Percutaneous transluminal angioplasty of infrainguinal vein graft stenosis: Long-term outcome.
- Authors
Dunlop, P.; Varty, K.; Hartshorne, T.; Bell, P. R. F.; Bolia, A.; London, N. J. M.
- Abstract
The aim of this prospective study was to examine the long-term outcome of infrainguinal vein graft stenosis managed by percutaneous transluminal angioplasty (PTA) as first-line treatment. Thirty-three infrainguinal vein graft stenoses detected by graft surveillance during a 44-month period were treated initially by PTA. The median (range) follow-up after angioplasty was 39 (18-56) months. Although 19 stenoses were successfully treated by a single PTA, 14 stenoses recurred at a median (range) interval of 8·5 (1-39) months. Restenosis occurred more frequently in the distal third of a graft ( P = 0·002) compared with that in the proximal or mid-grafts, and restenosis was more common in in situ than reversed vein grafts ( P = 0·03). It is concluded that infrainguinal vein graft stenoses were successfully treated by single PTA. There was, however, a high restenosis rate after angioplasty of stenosis in the distal third of a vein graft and, while approximately one third of such stenoses can be treated by a single PTA, the optimal management of recurrent stenosis requires further investigation.
- Publication
British Journal of Surgery, 1995, Vol 82, Issue 2, p204
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800820220