Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft
| Autor: | Hyoung Tae Kim, Young-Nam Roh, Ui Jun Park, Myung Jae Jin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Bypass Infrainguinal bypass medicine.medical_treatment Vein graft Infrainguinal 030204 cardiovascular system & hematology Revascularization 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Medicine Composite graft 030212 general & internal medicine Vein Polytetrafluoroethylene lcsh:RC633-647.5 business.industry lcsh:Diseases of the blood and blood-forming organs Critical limb ischemia Surgery surgical procedures operative medicine.anatomical_structure chemistry Bypass surgery lcsh:RC666-701 Original Article medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular Specialist International Vascular Specialist International, Vol 33, Iss 2, Pp 65-71 (2017) |
| ISSN: | 2288-7989 2288-7970 |
| Popis: | Purpose: Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft. Materials and Methods: We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from March 2012 to November 2016. Results: Critical limb ischemia was common (63.6%) indication of bypass surgery and most (90.9%) of the patients had history of failed previous treatment including endovascular treatment (36.4%) and bypass surgery (72.7%). At the 2 years after graft implantations, primary patency and amputation-free survival of below-knee bypasses using composite graft were 73% and 76%, respectively. Conclusion: Infrainguinal arterial bypasses with composite graft had an acceptable patency. In patients without other alternative conduits for revascularization, bypass with a composite graft can be an option. |
| Databáze: | OpenAIRE |
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