European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 1998
Below-knee popliteal and distal bypass with PTFE and vein cuff.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Jakobsen H L, Baekgaard N, Christoffersen J K
Аннотация
OBJECTIVES: To determine the value of PTFE grafts with a distal vein cuff as a conduit for below-knee (BK) popliteal and distal bypass in the absence of autologous vein.
DESIGN: Retrospective study.
MATERIALS AND METHODS: Forty below BK popliteal and distal bypass procedures in 39 patients with PTFE and distal vein cuff (Miller cuff n = 31, Wolfe cuff and adjuvant arteriovenous fistula n = 9). Nineteen primary and 21 secondary reconstruction procedures.
RESULTS: The primary patency rate was 62.5% at 1 year falling to 50% at 2 years. The secondary patency rates were very similar owing to poor outcome of thrombectomy. Ten cases (25%) resulted in major amputation postoperatively. There was a tendency towards better outcome for primary procedures compared to secondary/redo procedures.
CONCLUSIONS: BK popliteal and distal bypass with PTFE and distal vein cuff is a worthwhile procedure in the absence of autologous vein. The value of thrombectomy following thrombosis of a secondary bypass procedure with PTFE and distal vein cuff is questionable.
DESIGN: Retrospective study.
MATERIALS AND METHODS: Forty below BK popliteal and distal bypass procedures in 39 patients with PTFE and distal vein cuff (Miller cuff n = 31, Wolfe cuff and adjuvant arteriovenous fistula n = 9). Nineteen primary and 21 secondary reconstruction procedures.
RESULTS: The primary patency rate was 62.5% at 1 year falling to 50% at 2 years. The secondary patency rates were very similar owing to poor outcome of thrombectomy. Ten cases (25%) resulted in major amputation postoperatively. There was a tendency towards better outcome for primary procedures compared to secondary/redo procedures.
CONCLUSIONS: BK popliteal and distal bypass with PTFE and distal vein cuff is a worthwhile procedure in the absence of autologous vein. The value of thrombectomy following thrombosis of a secondary bypass procedure with PTFE and distal vein cuff is questionable.
Предметные рубрики MeSH
AgedAged, 80 and overAmputation, SurgicalAnastomosis, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationFemaleFollow-Up StudiesHumansMaleMiddle AgedPolytetrafluoroethylenePopliteal ArteryRecurrenceRetrospective StudiesSalvage TherapySurvival RateTibial ArteriesVascular DiseasesVascular PatencyVeins