Hemodynamic effects of closure of residual arteriovenous fistulae during in situ graft procedures
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Hemodynamic effects of closure of residual arteriovenous fistulae during in situ graft procedures. / Laustsen, Jesper; Nielsen, Henriette Svarre; Pedersen, Erik Morre; Paaske, William P.
In: Vascular, Vol. 18, No. 5, 2011, p. 275-8.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - Hemodynamic effects of closure of residual arteriovenous fistulae during in situ graft procedures
AU - Laustsen, Jesper
AU - Nielsen, Henriette Svarre
AU - Pedersen, Erik Morre
AU - Paaske, William P
PY - 2011
Y1 - 2011
N2 - The objective was to study the intraoperative hemodynamic effects of closure of residual arteriovenous fistulae during in situ saphenous vein graft procedures. Data on 60 residual arteriovenous fistulae in nine patients (five men) with a median age of 74 years (range 64-83 years) with critical lower limb ischemia were obtained. Direct measurements of proximal and distal blood pressures in the graft were taken and simultaneous determinations of volume blood flow proximally and distally in the graft with ultrasound transit time technique before and after closure of residual fistulae were made. Closure of a fistula with blood flow around or below 100 mL/min did not increase distal outflow, whereas closure of fistulae with higher blood flow resulted in unpredictable changes in distal outflow. Only fistulae with a blood flow above approximately 100 mL/min may be of hemodynamic significance.
AB - The objective was to study the intraoperative hemodynamic effects of closure of residual arteriovenous fistulae during in situ saphenous vein graft procedures. Data on 60 residual arteriovenous fistulae in nine patients (five men) with a median age of 74 years (range 64-83 years) with critical lower limb ischemia were obtained. Direct measurements of proximal and distal blood pressures in the graft were taken and simultaneous determinations of volume blood flow proximally and distally in the graft with ultrasound transit time technique before and after closure of residual fistulae were made. Closure of a fistula with blood flow around or below 100 mL/min did not increase distal outflow, whereas closure of fistulae with higher blood flow resulted in unpredictable changes in distal outflow. Only fistulae with a blood flow above approximately 100 mL/min may be of hemodynamic significance.
U2 - 10.2310/6670.2010.00021
DO - 10.2310/6670.2010.00021
M3 - Journal article
VL - 18
SP - 275
EP - 278
JO - Vascular
JF - Vascular
SN - 1708-5381
IS - 5
ER -
ID: 34164516