scholarly journals Identification of factors predictive of lower extremity vein graft thrombosis

2001 ◽  
Vol 33 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Kathleen D. Gibson ◽  
Michael T. Caps ◽  
Daniel Gillen ◽  
Robert O. Bergelin ◽  
Jean Primozich ◽  
...  
Vascular ◽  
2006 ◽  
Vol 14 (3) ◽  
pp. 173-176 ◽  
Author(s):  
Andras Bikk ◽  
Martin D. Rosenthal ◽  
Eric D. Wellons ◽  
Susan M. Hancock ◽  
David Rosenthal

Saphenous vein is the most widely used conduit for arterial bypass procedures and aneurysms of the vein graft are rare. We report a true aneurysm of a reversed femoropopliteal saphenous vein graft implanted nine years earlier. Duplex ultrasonography identified an aneurysm of the saphenous vein graft and arteriography confirmed this finding. A consideration for endovascular coiling of the aneurysm was entertained, but no proximal “neck” on the aneurysm was present. The patient, therefore, underwent an uneventful resection of the aneurysm with end-to-end anastomosis. Histopathologic examination of the aneurysm demonstrated atherosclerotic degeneration with endothelial disruption, medial necrosis, and fibrous proliferation. The cause of a saphenous vein graft aneurysm is rare and unknown. The management of vein graft aneurysms, however, should be subject to the same criteria that apply to other aneurysms because once vein graft dilation occurs, it is followed by a rapid increase in size, which may lead to possible rupture.


2021 ◽  
Author(s):  
Dudy Arman hanafy ◽  
Budhi Setianto Setianto ◽  
Jusuf Rachmat ◽  
Soesanto ◽  
Arman Adel Abdullah ◽  
...  

Abstract Objectives: This study was carried out to determine the role of pre-operative and transient aspirin resistance in the formation of early saphenous vein graft (SVG) thrombosis six weeks after coronary artery bypass graft (CABG) surgery and to analyze the other factors, such as mechanical and inflammation factors, that are also suspected of contributing to the formation of early thrombosis.Methods: Pre- and post-operative blood samples were taken from 99 subjects, whom 74 patients were undergoing elective on-pump CABG and receiving aspirin as monotherapy, for evaluation of inflammation parameters and the state of aspirin resistance using a Platelet Function Analyzer-200 (PFA-200). Transit time flow measurements (TTFM) were performed intra-operatively to determine mechanical factors. Multi-sliced computed tomography (MSCT) was done six weeks after surgery to determine the patency of the vein grafts.Result: In the 222 vein conduits, aspirin resistance was related to early vein graft failure due to thrombosis (p < 0.001; relative risk (RR) = 3.69). The massive increase of interleukin 6 (IL-6) levels after surgery were related to the existence of post-operative transient aspirin resistance (p < 0.001). Transient aspirin resistance (IL-6 > 122.5) was associated with early graft failure (p = 0.029; RR = 8.6) compared to the aspirin-sensitive group (IL-6 > 122.5).Conclusion: Aspirin resistance plays a primary role in early vein graft thrombosis. Transient aspirin resistance accompanied by an increase of inflammation factor (IL-6) significantly increases the risk of early vein graft thrombosis after CABG.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Stephen D. Dickson ◽  
Adam Taleb ◽  
Szymon Wiernek ◽  
Alayn Govea ◽  
William Penny

2014 ◽  
Vol 59 (1) ◽  
pp. 136-144 ◽  
Author(s):  
Raymond E. Eid ◽  
Li Wang ◽  
Michael Kuzman ◽  
Ghassan Abu-Hamad ◽  
Michael Singh ◽  
...  

2016 ◽  
Vol 35 (7-8) ◽  
pp. 447.e1-447.e3
Author(s):  
Konstantinos Marmagkiolis ◽  
Mehmet Cilingiroglu

2021 ◽  
Vol 233 (5) ◽  
pp. S323
Author(s):  
Jonathan Unkart ◽  
Claire B. Janssen ◽  
Munir Paul Moacdieh ◽  
Mahmoud Malas

2013 ◽  
Vol 216 (5) ◽  
pp. 1005-1014.e2 ◽  
Author(s):  
Tze-Woei Tan ◽  
Alik Farber ◽  
Naomi M. Hamburg ◽  
Robert T. Eberhardt ◽  
Denis Rybin ◽  
...  

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