The evaluation of run-off prior to infra-inguinal bypass reconstruction - a modified scoring system based on flow measurement.
OBJECTIVE
To compare angiographic scoring and flow measurements in the assessment of run-off prior infra-inguinal bypass.


METHODS
In a series of 108 consecutive infra-inguinal bypasses, run-off was scored on the basis of pre- and post-operative angiograms and related to intra- and post-operative flow rates as determined by Doppler ultrasonography.


RESULTS
There was a highly significant correlation between the angiographic score and flow (p = 0.0000), as well as between angiographic score (p = 0.0000), flow (p = 0.0000) and the level of distal anastomosis. Flow determined per crural vessel (quotient of flow to angiographic score) proved to be independent of the level of distal bypass anastomosis (p = 0.20).


CONCLUSIONS
In this study, angiographic scoring and Doppler flow measurements were equally valid means for the assessment of run-off. Our system allows an objective assessment of run-off independently of the distal bypass anastomosis level and provides a functional estimation of run-off.
Schwierz
T
T
Surgical Department, Elisabethinen Hospital Linz, Austria.
Pricop
T
T
Ebner
C
C
Havlicek
W
W
Schmöller
F
F
Nesser
H J
HJ
Böhmig
H J
HJ
Függer
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D015901:Angiography, Digital Subtraction; D001783:Blood Flow Velocity; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012039:Regional Blood Flow; D018608:Ultrasonography, Doppler; D014654:Vascular Patency; D014656:Vascular Surgical Procedures