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Titolo:
Prospective controlled study of polytetrafluoroethylene versus saphenous vein in claudicant patients with bilateral above knee femoropopliteal bypasses
Autore:
AbuRahma, AF; Robinson, PA; Holt, SM;
Indirizzi:
W Virginia Univ, Dept Surg, Robert C Byrd Hth Sci Ctr, Charleston Area MedCtr, Charleston, WV 25304 USA W Virginia Univ Charleston WV USA 25304 MedCtr, Charleston, WV 25304 USA
Titolo Testata:
SURGERY
fascicolo: 4, volume: 126, anno: 1999,
pagine: 594 - 601
SICI:
0039-6060(199910)126:4<594:PCSOPV>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFRAINGUINAL REVASCULARIZATION; AUTOGENOUS VEIN; GRAFTS; TERM; RECONSTRUCTION; EXPERIENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: AbuRahma, AF 3100 MacCorkle Ave SE,Suite 603, Charleston, WV 25304 USA 3100 MacCorkle Ave SE,Suite 603 Charleston WV USA 25304 USA
Citazione:
A.F. AbuRahma et al., "Prospective controlled study of polytetrafluoroethylene versus saphenous vein in claudicant patients with bilateral above knee femoropopliteal bypasses", SURGERY, 126(4), 1999, pp. 594-601

Abstract

Background. Although several studies have compared the patency rates of polytetrafluoroethylene (PTFE) and saphenous vein grafts (SVG) for the above knee location, none have compared the 2 grafts when Implanted in the same patient with claudication who needs bilateral above knee femoropopliteal bypassesMethods. Forty-three patients (86 limbs) with bilateral disabling claudication who had superficial formal artery occlusion and above knee reconstitution with 2- to 3-vessel runoff were analyzed. Patients were treated on one side with PTFE and on the other side with SVG. They were sequentially assigned to PTFE-SVG alternating with SVG-PTFE. All patients were followed usingduplex ultrasound and ankle/brachial indexes at I month and every 6 monthsthereafter . Results. The perioperative complication rates were 5% So PTFE and 12% for SVG, There was no operative death or perioperative amputation for either procedure. The Kaplan-Meier estimate of primary, assisted primary and secondary patency rates at 72 months were 68%, 68%, and 77% for PTFE and 76%, 83%,and 85% Sor SVG. There were no statistically significant differences between primary and secondary patency rates for both grafts; however the assisted primary patency rates were higher SVG (P < .05). The nude limb, salvage rate at 72 months was 98% Sol PTFE and 98% for SVG There were no risk factors identified that had an impact on graft patency. Conclusions. PTFE and SVG for above knee bypasses have comparable patency and limb salvage rates in claudicant patients with bilateral superficial femoral artery occlusion and 2- to 3-vessel runoff. This may justify the use of PTFE for above knee locations in these selected patients.

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Documento generato il 04/12/20 alle ore 16:20:13