PTFE BYPASS-GRAFTING TO ISOLATED POPLITEAL SEGMENTS IN CRITICAL LIMB ISCHEMIA

被引：18

作者：

LOH, A ^{[1
]}

CHESTER, JF ^{[1
]}

TAYLOR, RS ^{[1
]}

机构：

[1] ST GEORGE HOSP,DEPT VASC SURG,4TH FLOOR,LONDON SW17 0QT,ENGLAND

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 01期

关键词：

LIMB ISCHEMIA; PTFE BYPASS GRAFTING; POPLITEAL SEGMENTS;

D O I：

10.1016/S0950-821X(05)80539-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although the quality of the distal run-off has been considered as an important factor affecting the success of bypass grafting, reasonable results have nevertheless been reported for bypass grafts to a popliteal artery with no direct communication with the tibial or peroneal vessels (isolated popliteal segment, IPS). The use of autogenous vein has produced the best results in this situation with most authors finding polytetrafluoroethylene (PTFE) less satisfactory. Improved results have nevertheless been shown for femoro-popliteal and femorotibial PTFE grafts by the incorporation of vein patches into the anastomoses. In this paper, the influence of this technique on the patency of PTFE grafts to IPS is evaluated. Thirty-three PTFE grafts to an IPS and 67 to the below knee (BK) popliteal artery with one or more run-off vessels were studied. All IPS grafts were carried out for limb salvage and in the BK popliteal group, 46 (69%) were for limb salvage and 21 (31%) were for severe claudication. Groups were matched in terms of age, smoking history and prevalence of diabetes mellitus. Cumulative patency rates of 84% at 1 year and 76% at 3 years were achieved in the IPS group compared to 90 and 81% for the BK popliteal group with one or more run-off vessels. Using the Taylor patch technique, comparable 3 year patency rates can be expected for PTFE grafts to IPSs and to BK popliteal arteries with patent tibial or peroneal run-off. © 1993 Grune & Stratton Ltd.

引用

页码：26 / 30

页数：5

共 21 条

[1]

Davis, Tudor Davies, Mannick, Bypass vein grafts in patients with distal popliteal artery occlusion, Am J Surg, 129, pp. 421-425, (1975)

[2]

Satiani, Das, Predictors of success in bypass grafts to the isolated popliteal segment, Surg Gynecol Obstet, 162, pp. 525-530, (1986)

[3]

Corson, Brewster, Lasalle, Et al., Comparative analysis of vein and prosthetic bypass grafts to the isolated popliteal artery, Surgery, 91, pp. 448-451, (1982)

[4]

Brewster, Charlesworth, Monhan, Abbott, Darling, Isolated popliteal segment v tibial bypass, Comparison of hemodynamic and clinical results, 119, pp. 775-779, (1984)

[5]

Miller, Foreman, Ferguson, Faris, Interposition vein cuff for anastomoses of prosthesis to the small artery, Aust NZ J Surg, 54, pp. 283-285, (1984)

[6]

Mcfarland, Taylor, Une amelioration technique d'anastome des prostheses arterielles femoro-distales, Phlebologie, 41, pp. 229-233, (1988)

[7]

Taylor, Loh, McFarland, Cox, Chester, Improved technique for polytetrafluoroethlene bypass grafting

[8]

long term results using anastomotic vein patches, Br J Surg, 79, pp. 348-354, (1992)

[9]

Tyrrell, Wolfe, New prosthetic venous collar anastomotic technique: combining the best of other procedures, Br J Surg, 78, pp. 1016-1017, (1991)

[10]

Peto, Pike, Armitage, Et al., Design and analysis of randomised clinical trials requiring prolonged observation of each patient, Br J Cancer, 35, pp. 1-39, (1977)

← 1 2 3 →