Surgical thrombectomy and transluminal balloon angioplasty for failed above-knee femoropopliteal polytetrafluoroethylene bypass grafts

Annals of Vascular Surgery
Michael J CostanzaW R Flinn

Abstract

Endovascular therapy offers an alternative to redo bypass or surgical graft revision for failed above-knee femoropopliteal PTFE bypass grafts. We evaluated the outcome of surgical thrombectomy and balloon angioplasty for the treatment of thrombosed bypass grafts. Thirty selected patients with thrombosed above-knee femoropopliteal PTFE bypass grafts were treated. Under local anesthesia, a surgical thrombectomy followed by bypass graft angiography and balloon angioplasty of perianastomotic stenoses was performed. Stents were used selectively for suboptimal angioplasty results. Patients underwent duplex scanning of the bypass graft postoperatively and at 6-month intervals. Life-table analysis and log-rank (Mantel-Cox) comparisons were performed. Patients were categorized into two groups on the basis of time elapsed from initial bypass graft construction to graft failure. Group 1 included 21 patients with a mean time to graft failure of 10 months (range, 0-20). Surgical thrombectomy was successful in 20 grafts (95%) and 17 patients had a stent placed after angioplasty. Rethrombosis occurred within 30 days in seven grafts (33%) in group 1 and major amputations were performed in six patients (28%). Group 2 included nine patients with...Continue Reading

References

Oct 1, 1989·The British Journal of Surgery·J F ThompsonA B Chant
Jun 1, 1997·Journal of Vascular Surgery·G B NackmanJ L Cronenwett
Aug 1, 1997·American Journal of Surgery·T ReifsnyderS A Leers
Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
Jun 1, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S Aune, E Laxdal
Aug 7, 2001·Journal of Vascular and Interventional Radiology : JVIR·T W ClarkM C Soulen
Jan 7, 2003·Journal of Vascular Surgery·Mark R NehlerWilliam C Krupski

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Citations

Jan 22, 2014·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Konstantinos MarmagkiolisMehmet Cilingiroglu
Apr 21, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mauricio Obon-Dent, Eduardo Hernandez-Vila
Dec 24, 2011·Journal of the American College of Cardiology·Atsushi TosakaMasakiyo Nobuyoshi
Aug 29, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G PedersenS Aune
Dec 15, 2012·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·P BalazM Björck
Mar 18, 2016·Vascular and Endovascular Surgery·Francesco De SantisGuido Martini
May 10, 2005·Immunology and Cell Biology·M Manuela Rigano, Amanda M Walmsley

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