PMID: 9546843Apr 18, 1998Paper

Patency of infrainguinal polytetrafluoroethylene bypass grafts with distal interposition vein cuffs

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
P J PappasF T Padberg

Abstract

Polytetrafluoroethylene (PTFE) prosthetic bypasses in the lower extremity have poor patency rates, particularly in limb salvage cases. Patency and limb salvage rates of PTFE bypasses supplemented by distal interposition vein cuffs were assessed in patients requiring revascularization for critical limb ischemia, in the absence of a suitable autologous saphenous vein. Between October 1993 and April 1996, 163 patients underwent 185 infrainguinal bypasses. Forty-three limbs in 42 patients (12 women, 30 men; mean age 67 years) did not have a suitable autologous saphenous vein (24%) and had femoropopliteal (20) and infrapopliteal (23) bypasses performed. Patients were examined prospectively at 3-month intervals during the first year and at 6-month intervals thereafter to determine graft patency and limb salvage. Postoperative anticoagulation with warfarin was used in 26 patients. Indications for operation included limb salvage in 41 extremities (21 rest pain/ulceration or gangrene, 20 rest pain alone), and disabling claudication in two. Patients were followed clinically for 2-30 months (mean 10 months). Cumulative 2-year life-table patencies for all grafts, femoropopliteal and infrapopliteal bypasses were 64%, 75% and 62%, respective...Continue Reading

References

Jun 1, 1984·The Australian and New Zealand Journal of Surgery·J H MillerI Faris
Apr 1, 1995·The British Journal of Surgery·S Raptis, J H Miller

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Citations

Feb 2, 1999·American Journal of Surgery·A T GentileS K Williams
Jun 5, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Alok TiwariGeorge Hamilton
Feb 19, 1999·Journal of the American College of Surgeons·J C Stanley
Nov 25, 2003·Medical Engineering & Physics·P Worth Longest, Clement Kleinstreuer
Jan 27, 2004·Journal of Vascular Surgery·Joris I RotmansGerard Pasterkamp
Aug 27, 2013·Annals of Vascular Surgery·Fredrik Lundgren, UNKNOWN Swedish External Support Study (SWEXSUS)
Jul 14, 2005·Journal of Medical Engineering & Technology·X-M Li, S E Rittgers
Mar 23, 2001·Journal of Biomaterials Applications·H J SalacinskiR J Carson
Jul 4, 2001·The American Journal of Cardiology·A J Comerota

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