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Titolo:
Is the preferential use of ePTFE grafts in femorofemoral bypass justified?
Autore:
Lau, H; Cheng, SW;
Indirizzi:
Univ Hong Kong, Med Ctr, Queen Mary Hosp, Dept Surg,Div Vasc Surg, Pokfulam, Hong Kong, Peoples R China Univ Hong Kong Pokfulam Hong Kong Peoples R China Kong, Peoples R China
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 3, volume: 15, anno: 2001,
pagine: 383 - 387
SICI:
0890-5096(200105)15:3<383:ITPUOE>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTERNALLY SUPPORTED POLYTETRAFLUOROETHYLENE; AORTOBIFEMORAL BYPASS; EXPERIENCE; DACRON; PATENCY; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Lau, H Univ Hong Kong, Med Ctr, Queen Mary Hosp, Dept Surg,Div Vasc Surg, Pokfulam, Hong Kong, Peoples R China Univ Hong Kong Pokfulam Hong Kong Peoples R China Peoples R China
Citazione:
H. Lau e S.W. Cheng, "Is the preferential use of ePTFE grafts in femorofemoral bypass justified?", ANN VASC S, 15(3), 2001, pp. 383-387

Abstract

The choice of prosthetic graft material for cross-femoral bypass has been evolving in the past two decades. Expanded polytetrafluoroethylene (ePTFE) has become our preferred graft material since 1995. However, few studies have looked into the optimal graft material in this procedure. Justification for the preferential use of ePTFE graft in lower limb revascularization remains unknown. The aim of the present study was to compare the long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass. The records of 61consecutive patients who underwent femorofemoral bypass at the University of Hong Kong Medical Center from 1981 to 1998 were retrospectively reviewed. Dacron grafts were used in 27 patients and 34 patients had ePTFE grafts. The demographic features, patency, and limb salvage rates of the two groupsof patients were compared. The 3-year primary patency rates of Dacron and ePTFE grafts were 85% (SE = 9.5%) and 66% (SE = 14.5%), respectively. The difference was not statistically significant. The limb salvage rates of Dacron and ePTFE grafts were 91% and 83% at 3 years, respectively (p = 0.27). The long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass were equivalent. The preferential use of ePTFE graft in femorofemoral bypass is not evidence based. Selection of an appropriate prosthetic graft for femorofemoral bypass should be based on the cost and its handling characteristics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 02:36:19