Conduit choice for above-knee femoropopliteal bypass grafting in patients with limb-threatening ischemia

Annals of Vascular Surgery
M A CuriLewis B Schwartz

Abstract

Many surgeons consider PTFE to be the conduit of choice for above-knee femoropopliteal bypass grafting, since PTFE is relatively easy to implant and spares autogenous saphenous vein (ASV) for subsequent peripheral or coronary artery bypass grafting (CABG). This practice has recently been challenged, as some studies have suggested that ASV may exhibit superior patency in certain patient subgroups. The purpose of this retrospective study was to examine the contemporary outcome of above-knee femoropopliteal bypass grafting in patients with limb-threatening ischemia. Between January 1995 and December 2000, 159 above-knee femoropopliteal bypass grafts were created for limb-threatening ischemia (rest pain or tissue loss). There was a high incidence of comorbid illness, including open foot wounds at the time of operation (62%), hypertension (58%), coronary artery disease (53%), diabetes mellitus (36%), cerebrovascular disease (23%), prior contralateral bypass or amputation (21%), disadvantaged or "blind" outflow (19%), prior ipsilateral bypass (14%), prior CABG (11%) end-stage renal failure (7%). The use of PTFE predominated (n = 11), with a minority of grafts comprising single-segment ipsilateral or contralateral ASV (n = 18). Althou...Continue Reading

Citations

Sep 5, 2006·Journal of Vascular Surgery·Carlos Eduardo PereiraCarlos Alberto Braganaa Pereira
Feb 8, 2005·Vascular and Endovascular Surgery·Amito ChandiwalLewis B Schwartz
Aug 17, 2005·Journal of Thrombosis and Haemostasis : JTH·B L W BendermacherM H Prins
Oct 17, 2017·Frontiers in Pharmacology·Kenyatta S Washington, Chris A Bashur
Dec 21, 2016·Journal of Materials Chemistry. B, Materials for Biology and Medicine·Ju Young ParkDong-Woo Cho

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