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Hygercoagulability poses risk for vascular bypass. (Poorer Survival, Limb Salvage Seen).
BOSTON--Hypercoagulability syndromes were associated with poorer survival and limb salvage following infrainguinal bypass, Dr. Michael A. Cud said at the joint annual meeting of the American Association for Vascular Surgery and the Society for Vascular Surgery.
Based on this finding in a study that included 456 patients and 582 total bypass grafts, preoperative screening for hypercoagulability syndromes is now being performed in high-risk patients considered for infrainguinal bypass grafting at the University of Chicago.
Patients who fall into the high-risk category include those with a concomitant illness such as lupus, those previously treated with heparin, and those who underwent a prior bypass procedure that failed, said Dr. Curi, a general surgeon at the University of Chicago.
The experience at his center showed that hypercoagulability is "highly prevalent" among patients who need vascular bypass.
The study included all patients who underwent an infrainguinal bypass at the medical ...
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