title: [The value of different clinical and imaging procedures for the postoperative follow-up of extra-anatomical bypasses].
abstract: In order to judge the patency of extra-anatomical by-passes in the lower extremities, 24 patients with 29 by-passes were examined clinically (palpation of the by-pass pulse, Fontaine staging, Doppler index) and by imaging methods (i-v DSA, Duplex sonography, colour-coded Doppler sonography). The value of these methods was compared. Sonography was found to be the ideal method for follow-up. Palpation was unreliable, particularly for femoro-femoral by-passes. The Doppler index and the Fontaine method provided no information about the actual state of the bypass. Angiography is indicated only if further vascular reconstruction is planned.
authors.affiliation: II. Chirurgische Universitätsklinik Wien.
authors.forename: V
authors.initials: V
authors.lastname: Metz
authors.forename: W
authors.initials: W
authors.lastname: Dock
authors.forename: F
authors.initials: F
authors.lastname: Grabenwöger
authors.forename: K
authors.initials: K
authors.lastname: Eibenberger
authors.forename: G
authors.initials: G
authors.lastname: Fenzl
authors.forename: A
authors.initials: A
authors.lastname: End
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011674:Pulse; D014463:Ultrasonography
vernacular_title: Wertigkeit unterschiedlicher klinischer und bildgebender Verfahren für die postoperative Verlaufskontrolle extraanatomischer Bypasses.