Improved technique for polytetrafluoroethylene bypass grafting: Long-term results using anastomotic vein patches

Author:

Taylor MrR S1,Loh A1,McFarland R J2,Cox M2,Chester J F3

Affiliation:

1. Department of Vascular Surgery, St George's Hospital, London, UK

2. Department of Surgery, Epsom District Hospital, Surrey, Taunton, UK

3. Departrnent of Surgery, Taunton and Somerset Hospital, Taunton, UK

Abstract

Abstract Results of peripheral arterial bypass using polytetrafluoroethylene grafts have remained poor in comparison with those using saphenous vein grafts, particularly for anastomoses to tibial and peroneal vessels. A simple modification to the conventional operative technique, involving the incorporation of a vein patch into the distal anastomosis, has enabled considerable improvement. Five-year patency rates of 71 per cent for popliteal and 54 per cent for infrapopliteal grafts have been achieved in a series of 256 patients operated on between 1982 and 1989.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference67 articles.

1. Le traitement de l'arterite obliterante par la greffe veineuse;Kunlin;Arch Mal Coeur,1949

2. The use of expanded microporous polytetrafluoroethylene for limb salvage. A preliminary report;Campbell;Surgery,1976

3. Preliminary experience with expanded polytetrafluoroethylene grafts;Johnson;Surgery,1979

4. Non-vein bypass in below knee reoperation for lower limb ischemia;Burnham;Surgery,1978

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