Blood flow in the lower limb after balloon angioplasty of the superficial femoral artery
Using duplex ultrasonography lower‐limb blood flow measurements were obtained in 20 patients with intermittent claudication. Assessments of flow were made in the common femoral artery, profunda femoris artery (PFA) and superficial femoral artery (SFA) before and after angioplasty for stenoses of sho...
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| Veröffentlicht in: | British journal of surgery 1996-06, Vol.83 (6), p.791-795 |
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| creator | Hussain, S. T. Smith, R. E. Clark, A. L. Wood, R. F. M. |
| description | Using duplex ultrasonography lower‐limb blood flow measurements were obtained in 20 patients with intermittent claudication. Assessments of flow were made in the common femoral artery, profunda femoris artery (PFA) and superficial femoral artery (SFA) before and after angioplasty for stenoses of short segments of the SFA. Blood flow was measured at rest and after exercise on a cycle ergometer. Collateral flow was calculated using an established mathematical model. Results were compared with the ankle: brachial systolic pressure index (ABPI) after exercise. Although there was no overall increase in resting limb blood flow, an increase in mean(s.d.) SFA flow from 148(79) to 312(94) ml min−1, with a concomitant decrease in PFA flow from 224(84) to 98(43) ml min−1 was noted 1 week after angioplasty (P |
| doi_str_mv | 10.1002/bjs.1800830620 |
| format | Article |
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T. ; Smith, R. E. ; Clark, A. L. ; Wood, R. F. M.</creator><creatorcontrib>Hussain, S. T. ; Smith, R. E. ; Clark, A. L. ; Wood, R. F. M.</creatorcontrib><description>Using duplex ultrasonography lower‐limb blood flow measurements were obtained in 20 patients with intermittent claudication. Assessments of flow were made in the common femoral artery, profunda femoris artery (PFA) and superficial femoral artery (SFA) before and after angioplasty for stenoses of short segments of the SFA. Blood flow was measured at rest and after exercise on a cycle ergometer. Collateral flow was calculated using an established mathematical model. Results were compared with the ankle: brachial systolic pressure index (ABPI) after exercise. Although there was no overall increase in resting limb blood flow, an increase in mean(s.d.) SFA flow from 148(79) to 312(94) ml min−1, with a concomitant decrease in PFA flow from 224(84) to 98(43) ml min−1 was noted 1 week after angioplasty (P<0·05). At rest there was an increase in mean(s.d.) ABPI from 0·62(0·12) to 0·89(0·23) (P<0·05). Collateral flow was estimated to have decreased from 186(34) to 18(8) ml min−1; the pattern of change in flow was similar after exercise. Angioplasty of the SFA remains controversial because of the risk of restenosis. The above methodology allows assessment of whether patients can re‐establish collateral flow or whether limb blood flow will be significantly compromised if restenosis occurs.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800830620</identifier><identifier>PMID: 8696742</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Aged ; Angioplasty, Balloon ; Arterial Occlusive Diseases - physiopathology ; Arterial Occlusive Diseases - therapy ; Biological and medical sciences ; Blood Flow Velocity ; Blood Pressure - physiology ; Cardiovascular system ; Female ; Femoral Artery - physiopathology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Leg - blood supply ; Male ; Medical sciences ; Middle Aged ; Models, Cardiovascular ; Ultrasonic investigative techniques ; Ultrasonography, Interventional ; Vascular Resistance</subject><ispartof>British journal of surgery, 1996-06, Vol.83 (6), p.791-795</ispartof><rights>Copyright © 1996 British Journal of Surgery Society Ltd.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4080-e40ea75b302d5e9d00016a6fdd0d461a9ad5abafec9eef31cacba9e2c2d290633</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.1800830620$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.1800830620$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3098085$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8696742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussain, S. T.</creatorcontrib><creatorcontrib>Smith, R. E.</creatorcontrib><creatorcontrib>Clark, A. L.</creatorcontrib><creatorcontrib>Wood, R. F. M.</creatorcontrib><title>Blood flow in the lower limb after balloon angioplasty of the superficial femoral artery</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Using duplex ultrasonography lower‐limb blood flow measurements were obtained in 20 patients with intermittent claudication. Assessments of flow were made in the common femoral artery, profunda femoris artery (PFA) and superficial femoral artery (SFA) before and after angioplasty for stenoses of short segments of the SFA. Blood flow was measured at rest and after exercise on a cycle ergometer. Collateral flow was calculated using an established mathematical model. Results were compared with the ankle: brachial systolic pressure index (ABPI) after exercise. Although there was no overall increase in resting limb blood flow, an increase in mean(s.d.) SFA flow from 148(79) to 312(94) ml min−1, with a concomitant decrease in PFA flow from 224(84) to 98(43) ml min−1 was noted 1 week after angioplasty (P<0·05). At rest there was an increase in mean(s.d.) ABPI from 0·62(0·12) to 0·89(0·23) (P<0·05). Collateral flow was estimated to have decreased from 186(34) to 18(8) ml min−1; the pattern of change in flow was similar after exercise. Angioplasty of the SFA remains controversial because of the risk of restenosis. The above methodology allows assessment of whether patients can re‐establish collateral flow or whether limb blood flow will be significantly compromised if restenosis occurs.</description><subject>Aged</subject><subject>Angioplasty, Balloon</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Blood Pressure - physiology</subject><subject>Cardiovascular system</subject><subject>Female</subject><subject>Femoral Artery - physiopathology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Cardiovascular</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Interventional</subject><subject>Vascular Resistance</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1v1DAQxS0EKkvhyg3JB8QtZWwnjn2kFS1UbTlQBDdr4g9wcZLFzqrsf4_prranmdH7vdFoHiGvGZwwAP5-uCsnTAEoAZLDE7JiQnYNZ1I9JSsA6BsmuHhOXpRyB8AEdPyIHCmpZd_yFflxmubZ0ZDmexonuvzytLY-0xTHgWJYajtgqtBEcfoZ53XCsmzpHB7Ysln7HKKNmGjw45xrxVxN25fkWcBU_Kt9PSbfzj_enn1qrr5cfD77cNXYFhQ0vgWPfTcI4K7z2tWLmUQZnAPXSoYaXYcDBm-190Ewi3ZA7bnljmuQQhyTd7u96zz_2fiymDEW61PCyc-bYnrFudQCKvhmD26G0TuzznHEvDX7V1T97V7HYjGFjJON5YAJ0ApUVzG9w-5j8tuDzMD8j8PUOMxjHOb08uvjVL3NzhvL4v8evJh_G9mLvjPfby5Me3592ykpTSv-AahBjg4</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Hussain, S. T.</creator><creator>Smith, R. E.</creator><creator>Clark, A. L.</creator><creator>Wood, R. F. M.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Blood flow in the lower limb after balloon angioplasty of the superficial femoral artery</title><author>Hussain, S. T. ; Smith, R. E. ; Clark, A. L. ; Wood, R. F. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4080-e40ea75b302d5e9d00016a6fdd0d461a9ad5abafec9eef31cacba9e2c2d290633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Blood Pressure - physiology</topic><topic>Cardiovascular system</topic><topic>Female</topic><topic>Femoral Artery - physiopathology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Cardiovascular</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography, Interventional</topic><topic>Vascular Resistance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hussain, S. T.</creatorcontrib><creatorcontrib>Smith, R. E.</creatorcontrib><creatorcontrib>Clark, A. L.</creatorcontrib><creatorcontrib>Wood, R. F. M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussain, S. T.</au><au>Smith, R. E.</au><au>Clark, A. L.</au><au>Wood, R. F. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood flow in the lower limb after balloon angioplasty of the superficial femoral artery</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1996-06</date><risdate>1996</risdate><volume>83</volume><issue>6</issue><spage>791</spage><epage>795</epage><pages>791-795</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Using duplex ultrasonography lower‐limb blood flow measurements were obtained in 20 patients with intermittent claudication. Assessments of flow were made in the common femoral artery, profunda femoris artery (PFA) and superficial femoral artery (SFA) before and after angioplasty for stenoses of short segments of the SFA. Blood flow was measured at rest and after exercise on a cycle ergometer. Collateral flow was calculated using an established mathematical model. Results were compared with the ankle: brachial systolic pressure index (ABPI) after exercise. Although there was no overall increase in resting limb blood flow, an increase in mean(s.d.) SFA flow from 148(79) to 312(94) ml min−1, with a concomitant decrease in PFA flow from 224(84) to 98(43) ml min−1 was noted 1 week after angioplasty (P<0·05). At rest there was an increase in mean(s.d.) ABPI from 0·62(0·12) to 0·89(0·23) (P<0·05). Collateral flow was estimated to have decreased from 186(34) to 18(8) ml min−1; the pattern of change in flow was similar after exercise. Angioplasty of the SFA remains controversial because of the risk of restenosis. The above methodology allows assessment of whether patients can re‐establish collateral flow or whether limb blood flow will be significantly compromised if restenosis occurs.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>8696742</pmid><doi>10.1002/bjs.1800830620</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Angioplasty, Balloon Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - therapy Biological and medical sciences Blood Flow Velocity Blood Pressure - physiology Cardiovascular system Female Femoral Artery - physiopathology Humans Investigative techniques, diagnostic techniques (general aspects) Leg - blood supply Male Medical sciences Middle Aged Models, Cardiovascular Ultrasonic investigative techniques Ultrasonography, Interventional Vascular Resistance |
| title | Blood flow in the lower limb after balloon angioplasty of the superficial femoral artery |
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