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Titolo:
A prospective randomized trial comparing vein with polytetrafluoroethylenein above-knee femoropopliteal bypass grafting
Autore:
Burger, DHC; Kappetein, AP; van Bockel, JH; Breslau, PJ;
Indirizzi:
Rode Kruis Ziekenhuis, Dept Surg, NL-2566 MJ The Hague, Netherlands Rode Kruis Ziekenhuis The Hague Netherlands NL-2566 MJ ague, Netherlands Leiden Univ, Med Ctr, Dept Surg, Div Vasc Surg, Leiden, Netherlands LeidenUniv Leiden Netherlands Surg, Div Vasc Surg, Leiden, Netherlands Leiden Univ, Med Ctr, Dept Cardiothorac Surg, Leiden, Netherlands Leiden Univ Leiden Netherlands t Cardiothorac Surg, Leiden, Netherlands
Titolo Testata:
JOURNAL OF VASCULAR SURGERY
fascicolo: 2, volume: 32, anno: 2000,
pagine: 278 - 283
SICI:
0741-5214(200008)32:2<278:APRTCV>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUTOGENOUS VEIN; SAPHENOUS-VEIN; ISCHEMIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Breslau, PJ Rode Kruis Ziekenhuis, Dept Surg, Sportlaan 600, NL-2566 MJ The Hague, Netherlands Rode Kruis Ziekenhuis Sportlaan 600 The Hague Netherlands NL-2566 MJ
Citazione:
D.H.C. Burger et al., "A prospective randomized trial comparing vein with polytetrafluoroethylenein above-knee femoropopliteal bypass grafting", J VASC SURG, 32(2), 2000, pp. 278-283

Abstract

Objective: Despite many clinical studies, there is still uncertainty as towhether venous material is superior to polytetrafluoroethylene for femoropopliteal reconstruction proximal to the knee joint. Supported by early satisfactory results with thin-walled, stretched polytetrafluoroethylene for suprageniculate bypass grafts, a prospectively randomized clinical trial was designed to evaluate the effectiveness of reversed saphenous vein in comparison with that of polytetrafluoroethylene in above-knee arterial reconstruction. Methods: In a a-year period, 151 above-knee femoropopliteal bypass graft operations were performed in 136 patients (77 male, 59 female). The indication for operation was severe claudication in 120 cases, rest pain in 20 cases, and ulceration in 11 cases. For the bypass graft, a reversed saphenous vein was used in each of 75 cases, and a polytetrafluoroethylene prosthesis was used in each of 76 cases. Preoperative risk factors were diabetes (24%), a history of myocardial infarction (23%), and current status with respectto smoking (74%). There was no hospital mortality; 5% of patients had minor postoperative complications. Results: After 2 years, the primary patency was 83% for saphenous vein and67% for polytetrafluoroethylene (P = .065); the secondary patency was 83% for saphenous vein and 77% for polytetrafluoroethylene (P = .298). During afollow up period of 2 years, we found no statistically significant difference in primary and secondary patency between saphenous vein and polytetrafluoroethylene. We found no predictive factor for occlusion of either bypass graft. Conclusion: The use of polytetrafluoroethylene above the knee is a reasonable alternative in femoropopliteal bypass grafting that is associated with acceptable short-term patency rates. (J Vasc Surg 2000;32:278-83.).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:09:03