Femoro-popliteal bypass above knee with saphenous vein vs synthetic graft.

Bosnian Journal of Basic Medical Sciences
Emir SolakovićSid Solaković

Abstract

There is still debate whether sintethic graft (polytetrafluoroethylene or Dacron) is equivalent to vein as bypass graft material for the above-knee femoropopliteal bypass. Therefore, we performed prospective randomized trial to compare vein with polytetrafluoroethylene/dacron for femoropopliteal bypasses with the distal anastomosis above the knee. Between January 2000 and June 2003, 121 femoropopliteal bypasses were performed. The indications for operation were severe claudication in 96 cases, rest pain in 16 cases, and ulceration in 9 cases. After randomization, 60 reversed saphenous venous bypasses and 61 polytetrafluoroethylene/dacron bypasses were performed. No perioperative mortality was seen, and 5% of the patients had minor infections of the wound, not resulting in loss of the bypass, the limb, or life. After 5 years, 37% of the patients had died and 7% were lost to follow-up. Only once saphenous vein was necessary for coronary artery bypass grafting. Primary patency rates after 5 years were 76,6% for venous bypass grafts and 59,1% for polytetrafluoroethylene/dacron grafts (p=0,035). Secondary patency rates were 83,3% for vein and 69,2% for polytetrafluoroethylene/dacron bypasses (p = 0,036). In the venous group, 10 bypa...Continue Reading

Citations

May 14, 2010·The Cochrane Database of Systematic Reviews·Christopher P Twine, Alexander D McLain
Feb 13, 2018·The Cochrane Database of Systematic Reviews·Graeme K Ambler, Christopher P Twine
May 28, 2011·The British Journal of Surgery·P W MoxeyP J E Holt
Sep 5, 2020·The Journal of Cardiovascular Surgery·Anne LejayNabil Chakfé

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