Aortofemoral bypass in young patients with premature atherosclerosis: is superficial femoral vein superior to Dacron?

Journal of Vascular Surgery
Mark R JacksonG Patrick Clagett

Abstract

Previous studies have documented poor patency rates in "young" patients (age 55 years or younger) with premature atherosclerosis undergoing aortofemoral bypass (AFB) to treat aortoiliac occlusive disease. Given the high reported graft patency rates with superficial femoral vein (SFV) grafts performed because of aortic graft infection, we evaluated the role of SFV grafts for AFB as primary therapy for premature atherosclerosis in a case-control study. Over 10 years 31 patients aged 55 year or younger underwent AFB with use of SFV (V-AFB). Case controls consisted of all patients 55 years of age or younger who underwent AFB with use of Dacron (D-AFB) during the same period (n = 80). In all cases this was the initial therapy (no repeat operations). The two groups were well matched for age, sex, weight, preoperative ankle-brachial index, and the comorbid conditions of smoking, coronary artery disease, chronic obstructive pulmonary disease, hyperlipidemia, hypertension, and renal insufficiency. There were more patients with diabetes in the V-AFB group (34% vs 16%; P =.05). Patients in the V-AFB group had more advanced disease, and the surgical indication was more frequently critical ischemia compared with the D-AFB group (90% vs 46%;...Continue Reading

References

Nov 1, 1996·Annals of Vascular Surgery·P J GagneJ F Eidt
Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
Feb 10, 1999·Journal of Vascular Surgery·J K WellsG P Clagett
Aug 13, 2002·Journal of Vascular and Interventional Radiology : JVIR·Gary P SiskinKenneth Mandato
Aug 30, 2003·Journal of Vascular Surgery·Ahsan T AliMark R Jackson
Jan 27, 2004·Journal of Vascular Surgery·J Gregory ModrallG Patrick Clagett

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Citations

Oct 21, 2015·Journal of Vascular Surgery·Sara C McKeeverMatthew R Smeds
Jul 14, 2005·Journal of Vascular Surgery·Victor D'AddioG Patrick Clagett
Oct 26, 2005·Journal of Vascular Surgery·Ahsan T AliG Patrick Clagett
Mar 25, 2014·Journal of Vascular Surgery·Salvatore T ScaliThomas S Huber
Jan 25, 2013·Journal of Vascular Surgery·Indrani SenSunil Agarwal
Mar 23, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K W H ChiuD J Adam
Jan 24, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T Spahos, F Torella
Aug 7, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jeffrey E IndesJulie Ann Sosa
Oct 25, 2012·Journal of Vascular Surgery·Enzo BallottaAntonio Toniato
Aug 23, 2016·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·A Neufang, S Savvidis
Jul 24, 2008·AJR. American Journal of Roentgenology·Jorge E LoperaG Patrick Clagett
May 5, 2007·Macromolecular Bioscience·Frédéric CouetDiego Mantovani
Jul 20, 2021·Cardiovascular and Interventional Radiology·Murtaza SalemHany Zayed

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