Vascular Laboratory Prediction of Pedal Pressure Following Femoropopliteal Bypass

Edward S. Phinney; James M. Edwards; Malcolm B. Herring; Lloyd M. Taylor; John M. Porter

doi:10.1016/S0890-5096(06)60770-X

Vascular Laboratory Prediction of Pedal Pressure Following Femoropopliteal Bypass

Edward S. Phinney, James M. Edwards, Malcolm B. Herring, Lloyd M. Taylor, John M. Porter

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

This study examines the hypothesis that postoperative ankle-brachial pressure index (postop ABI) can be accurately predicted using noninvasive preoperative segmental leg pressure measurements. Seventy-three patients who underwent successful reverse autogenous vein femoropopliteal bypass and who had pre- and postoperative segmental leg pressure measurements were examined. Predicted postop ABI was estimated using the following formula: Postop ABI = 1 + (Preop ABI) − (Preop BKI). (BKI = below-knee brachial pressure index). Using this formula, 56 out of 73 (81%) patients had a measured postop ABI ± 20% of predicted postop ABI. Five out of 73 (7%) patients had postop ABI < 80% predicted, while 12 out of 73 (16%) patients had postop ABI > 120% of predicted. All patients with postop ABI > 120% of predicted had apparent tibial artery occlusive disease as indicated by preoperative gradients (BKI-ABI) > 0.15.

Original language	English (US)
Pages (from-to)	1-5
Number of pages	5
Journal	Annals of Vascular Surgery
Volume	2
Issue number	1
DOIs	https://doi.org/10.1016/S0890-5096(06)60770-X
State	Published - 1988

Keywords

Ankle-brachial pressure index
femoropopliteal bypass
prediction of pedal pressure

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/S0890-5096(06)60770-X

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title = "Vascular Laboratory Prediction of Pedal Pressure Following Femoropopliteal Bypass",

abstract = "This study examines the hypothesis that postoperative ankle-brachial pressure index (postop ABI) can be accurately predicted using noninvasive preoperative segmental leg pressure measurements. Seventy-three patients who underwent successful reverse autogenous vein femoropopliteal bypass and who had pre- and postoperative segmental leg pressure measurements were examined. Predicted postop ABI was estimated using the following formula: Postop ABI = 1 + (Preop ABI) − (Preop BKI). (BKI = below-knee brachial pressure index). Using this formula, 56 out of 73 (81%) patients had a measured postop ABI ± 20% of predicted postop ABI. Five out of 73 (7%) patients had postop ABI < 80% predicted, while 12 out of 73 (16%) patients had postop ABI > 120% of predicted. All patients with postop ABI > 120% of predicted had apparent tibial artery occlusive disease as indicated by preoperative gradients (BKI-ABI) > 0.15.",

keywords = "Ankle-brachial pressure index, femoropopliteal bypass, prediction of pedal pressure",

author = "Phinney, {Edward S.} and Edwards, {James M.} and Herring, {Malcolm B.} and Taylor, {Lloyd M.} and Porter, {John M.}",

note = "Funding Information: Supported by Grant RR00334, General Clinical Research Center Branch, Division of Research Resources, National Institutes of Health.",

year = "1988",

doi = "10.1016/S0890-5096(06)60770-X",

language = "English (US)",

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journal = "Annals of Vascular Surgery",

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T1 - Vascular Laboratory Prediction of Pedal Pressure Following Femoropopliteal Bypass

AU - Phinney, Edward S.

AU - Edwards, James M.

AU - Herring, Malcolm B.

AU - Taylor, Lloyd M.

AU - Porter, John M.

N1 - Funding Information: Supported by Grant RR00334, General Clinical Research Center Branch, Division of Research Resources, National Institutes of Health.

PY - 1988

Y1 - 1988

N2 - This study examines the hypothesis that postoperative ankle-brachial pressure index (postop ABI) can be accurately predicted using noninvasive preoperative segmental leg pressure measurements. Seventy-three patients who underwent successful reverse autogenous vein femoropopliteal bypass and who had pre- and postoperative segmental leg pressure measurements were examined. Predicted postop ABI was estimated using the following formula: Postop ABI = 1 + (Preop ABI) − (Preop BKI). (BKI = below-knee brachial pressure index). Using this formula, 56 out of 73 (81%) patients had a measured postop ABI ± 20% of predicted postop ABI. Five out of 73 (7%) patients had postop ABI < 80% predicted, while 12 out of 73 (16%) patients had postop ABI > 120% of predicted. All patients with postop ABI > 120% of predicted had apparent tibial artery occlusive disease as indicated by preoperative gradients (BKI-ABI) > 0.15.

AB - This study examines the hypothesis that postoperative ankle-brachial pressure index (postop ABI) can be accurately predicted using noninvasive preoperative segmental leg pressure measurements. Seventy-three patients who underwent successful reverse autogenous vein femoropopliteal bypass and who had pre- and postoperative segmental leg pressure measurements were examined. Predicted postop ABI was estimated using the following formula: Postop ABI = 1 + (Preop ABI) − (Preop BKI). (BKI = below-knee brachial pressure index). Using this formula, 56 out of 73 (81%) patients had a measured postop ABI ± 20% of predicted postop ABI. Five out of 73 (7%) patients had postop ABI < 80% predicted, while 12 out of 73 (16%) patients had postop ABI > 120% of predicted. All patients with postop ABI > 120% of predicted had apparent tibial artery occlusive disease as indicated by preoperative gradients (BKI-ABI) > 0.15.

KW - Ankle-brachial pressure index

KW - femoropopliteal bypass

KW - prediction of pedal pressure

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Vascular Laboratory Prediction of Pedal Pressure Following Femoropopliteal Bypass

Abstract

Keywords

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