Venous Conduits Have Superior Patency Compared with Prosthetic Grafts for Femorofemoral Bypass

Annals of Vascular Surgery
Khanh P NguyenGregory Landry

Abstract

The objective of the study was to compare the outcomes of externally supported polytetrafluoroethylene (PTFE) grafts and femoral vein as conduits for femorofemoral crossover grafts. This is a retrospective review of consecutive femorofemoral crossover grafts at our institution between January 2005 and March 2016. Patient demographics, indications, complication rates, patency rates, and survival rates were compared between femorofemoral grafts created with either PTFE or femoral vein conduits, autogenous or cryopreserved. One hundred nineteen femorofemoral crossover bypasses (89 PTFE, 30 vein [18 autogenous and 12 cryopreserved femoral veins]) were performed. Most patients underwent isolated femorofemoral bypass alone (76% isolated femorofemoral bypass versus 24% axillobifemoral bypass). A greater proportion of patients who received vein grafts were female (PTFE 37% vs. vein 60%, P = 0.028) and had prior bypasses (PTFE 33% vs. vein 73%, P < 0.001). PTFE bypasses were performed primarily for chronic limb ischemia (61.8%), while most venous bypasses were for infections (80%, P < 0.001). Femoral vein conduits were used in cases of infected aortic or extra-anatomical grafts (N = 20) or groin infection (N = 5). The 30-day complicatio...Continue Reading

Citations

Feb 8, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Juan Enrique BernerManiram Ragbir
Mar 23, 2021·Annals of Surgical Treatment and Research·Ki-Sang JungYoung-Wook Kim
Aug 15, 2021·Advances in Surgery·Ali Khalifeh, Todd E Rasmussen

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