{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:57:16Z","timestamp":1761058636870},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1987,4,1]],"date-time":"1987-04-01T00:00:00Z","timestamp":544233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Detection and early correction of stenoses following femorodistal bypass grafting may prevent graft occlusion. We studied 43 grafts (36 saphenous vein and 7 human umbilical vein) prospectively by peroperative angiography and then by clinical assessment, post-exercise Doppler ankle pressures and digital subtraction angiography at 1 week, 3 months, 6 months and 1 year. There were 11 grafts inserted for critical ischaemia, 16 for rest pain and 16 for disabling claudication. Four patients died within the year with five patent grafts and these were excluded from the final results. Eight grafts failed during the first year; four within 1 month and a further four subsequently, with no warning alteration of symptoms, ankle Doppler pressure or digital subtraction angiography. Four additional grafts were jeopardized by symptomatic stenoses. Six grafts developed an asymptomatic stenosis of &amp;gt; 50 per cent without a change in exercising ankle Doppler pressure. Three symptomatic stenoses were successfully revised but the fourth occluded on conservative management. Three asymptomatic stenoses have also been successfully revised and three have been treated conservatively. Close surveillance of femorodistal grafts is justified by this study but a deterioration in ankle brachial Doppler index was only useful in the patients with recurrent symptoms and was unable to detect half the stenoses of &amp;gt; 50 per cent. The detection of these by intravenous digital subtraction angiography might help to avoid graft failure.<\/jats:p>","DOI":"10.1002\/bjs.1800740414","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T09:40:48Z","timestamp":1172914848000},"page":"268-270","source":"Crossref","is-referenced-by-count":51,"title":["Early diagnosis of femorodistal graft stenoses"],"prefix":"10.1093","volume":"74","author":[{"given":"J H N","family":"Wolfe","sequence":"first","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Lea Thomas","sequence":"additional","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C W","family":"Jamieson","sequence":"additional","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N L","family":"Browse","sequence":"additional","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K G","family":"Burnand","sequence":"additional","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D L","family":"Rutt","sequence":"additional","affiliation":[{"name":"St. Thomas' Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,4,1]]},"reference":[{"key":"2024092719422194000_bib1","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/00000658-197309000-00002","article-title":"Biological fate of autologous vein implants as arterial substitutes","volume":"178","author":"Szilagyi","year":"1973","journal-title":"Ann Surg"},{"key":"2024092719422194000_bib2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/00000658-198101000-00006","article-title":"Secondary femoropopliteal reconstruction","volume":"193","author":"Whittemore","year":"1980","journal-title":"Ann Surg"},{"key":"2024092719422194000_bib3","first-page":"257","article-title":"Vein graft for arterial repair: their success and reasons for failure","volume":"63","author":"Campbell","year":"1981","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092719422194000_bib4","first-page":"971","article-title":"Value of routine vascular laboratory studies to identify vein graft stenosis","volume":"90","author":"Berkowitz","year":"1981","journal-title":"Surgery"},{"key":"2024092719422194000_bib5","first-page":"309","article-title":"Ultrasonic prediction of graft failure","volume":"18","author":"Taylor","year":"1977","journal-title":"J Cardiovasc Surg"},{"key":"2024092719422194000_bib6","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1001\/archsurg.1982.01380340031008","article-title":"Doppler ankle pressure\u2014an evaluation of three months of expression","volume":"177","author":"Ouriel","year":"1982","journal-title":"Arch Surg"},{"key":"2024092719422194000_bib7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1136\/bmj.280.6206.13","article-title":"Standard exercise test to assess peripheral arterial disease","volume":"i","author":"Laing","year":"1980","journal-title":"Br Med J"},{"key":"2024092719422194000_bib8","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1259\/0007-1285-59-699-241","article-title":"Intravenous digital subtraction angiography: a comparison of peripheral versus central injection","volume":"59","author":"Lea Thomas","year":"1986","journal-title":"Br J Radiol"},{"key":"2024092719422194000_bib9","first-page":"147","volume-title":"Atherosclerosis Reviews","author":"De Palma","year":"1979"},{"key":"2024092719422194000_bib10","first-page":"878","article-title":"Patency of femoro popliteal and femoro tibial grafts after outflow revascularisation to bypass disease","volume":"96","author":"Andros","year":"1984","journal-title":"Surgery"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800740414","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/4\/268\/59383700\/bjs1800740414.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/4\/268\/59383700\/bjs1800740414.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T19:44:06Z","timestamp":1727466246000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/74\/4\/268\/6183452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,4,1]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1987,4,1]]},"published-print":{"date-parts":[[1987,4,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800740414","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1987,4]]},"published":{"date-parts":[[1987,4,1]]}}}