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Article
September 1979

Ankle Systolic Pressure Index and Early Vein Graft Failure-Reply

Arch Surg. 1979;114(9):1091. doi:10.1001/archsurg.1979.01370330113024

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Abstract

In Reply.—Clearly there is a difference between Dr Dean's results and our results with regard to the incidence of early failure of femoropopliteal vein grafts when the preoperative ankle systolic pressure index (ASPI) is low. He found this failure rate to be prohibitive,1 and we found it to be acceptable.2 In his letter, Dr Dean suggests that this difference may be the result of the inclusion of femorotibial grafts along with femoropopliteal grafts in our study. As a result of his query, we have again reviewed our results in patients undergoing vein graft reconstruction where the preoperative ASPI was low (<0.2). Of this group of 17 patients, we were surprised to find only one who had a femorotibial graft. The early failure rate in the remaining 16 patients who underwent femoropopliteal vein grafts was 31% (5/16). The other 19 grafts to vessels distal to the popliteal artery

References
1.
Dean RH, Yao JST, Stanton PE, et al:  Prognostic indicators in femoropopliteal reconstructions . Arch Surg 110:1287-1293, 1975.Article
2.
Corson JD, Johnson WC, LoGerfo FW, et al:  Doppler ankle systolic blood pressure . Arch Surg 113:932-935, 1978.Article
3.
LoGerfo FW, Corson JD, Mannick JA:  Improved results with femoropopliteal vein grafts for limb salvage . Arch Surg 112:567-570, 1977.Article
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