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Residual arteriovenous fistulas are a potential source of morbidity after femorodistal bypass operation has been performed with the in situ great saphenous vein graft. A review of our initial experience with 155 operations in which various methods of intraoperative detection were used showed that fistulas were overlooked in 27 cases (17.4%), causing graft thrombosis in 10 cases (6.4%). After the introduction of a rapid and simple intraoperative test that used retrograde irrigation of the graft, only three superficial fistulas were overlooked in 70 operations (4.2%), with no associated graft thrombosis. The test had no detectable deleterious effects and graft distension pressures were within acceptable limits.
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
February 1988,
American journal of surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
July 1993,
Annals of vascular surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
September 1991,
Annals of vascular surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
April 1991,
Journal of vascular surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
December 1992,
Lakartidningen,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
May 1982,
The Netherlands journal of surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
June 2011,
Cardiovascular and interventional radiology,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
September 1990,
American journal of surgery,
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
December 1982,
Archives of surgery (Chicago, Ill. : 1960),
C P Shearman, and
M X Gannon, and
B R Gwynn, and
M H Simms
January 1986,
Surgery annual,
