Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage

Richard A. Yeager; Robert W. Hobson; Thomas G. Lynch; Zafar Jamil; Bing C. Lee; Krishna Jain; Roger Keys

doi:10.1016/0022-4804(82)90132-9

Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage

Richard A. Yeager, Robert W. Hobson, Thomas G. Lynch, Zafar Jamil, Bing C. Lee, Krishna Jain, Roger Keys

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

This clinical review of 70 polytetrafluoroethylene femoropopliteal and femoral-distal (tibial or peroneal) bypasses for limb salvage analyzes factors that influence graft patency. Patients with "good" angiographic run-off (n = 26) had a significantly better (P < 0.01) cumulative patency rate when compared to patients with "poor" (n = 43) angiographic run-off. Other factors which had a significant influence on graft patency over the 2-year follow-up included site of distal anastomosis (femoropopliteal versus femoral-distal), and previously failed femoropopliteal bypass. Patients with a preoperative ankle/brachial Doppler pressure index of less than 0.2 had a 67% occlusion rate during the first postoperative month. Thrombectomy and distal revisions (patch or jump graft) following graft occlusion did not significantly prolong graft patency.

Original language	English (US)
Pages (from-to)	499-506
Number of pages	8
Journal	Journal of Surgical Research
Volume	32
Issue number	5
DOIs	https://doi.org/10.1016/0022-4804(82)90132-9
State	Published - May 1982
Externally published	Yes

ASJC Scopus subject areas

Surgery

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10.1016/0022-4804(82)90132-9

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title = "Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage",

abstract = "This clinical review of 70 polytetrafluoroethylene femoropopliteal and femoral-distal (tibial or peroneal) bypasses for limb salvage analyzes factors that influence graft patency. Patients with {"}good{"} angiographic run-off (n = 26) had a significantly better (P < 0.01) cumulative patency rate when compared to patients with {"}poor{"} (n = 43) angiographic run-off. Other factors which had a significant influence on graft patency over the 2-year follow-up included site of distal anastomosis (femoropopliteal versus femoral-distal), and previously failed femoropopliteal bypass. Patients with a preoperative ankle/brachial Doppler pressure index of less than 0.2 had a 67% occlusion rate during the first postoperative month. Thrombectomy and distal revisions (patch or jump graft) following graft occlusion did not significantly prolong graft patency.",

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AU - Yeager, Richard A.

AU - Hobson, Robert W.

AU - Lynch, Thomas G.

AU - Jamil, Zafar

AU - Lee, Bing C.

AU - Jain, Krishna

AU - Keys, Roger

PY - 1982/5

Y1 - 1982/5

N2 - This clinical review of 70 polytetrafluoroethylene femoropopliteal and femoral-distal (tibial or peroneal) bypasses for limb salvage analyzes factors that influence graft patency. Patients with "good" angiographic run-off (n = 26) had a significantly better (P < 0.01) cumulative patency rate when compared to patients with "poor" (n = 43) angiographic run-off. Other factors which had a significant influence on graft patency over the 2-year follow-up included site of distal anastomosis (femoropopliteal versus femoral-distal), and previously failed femoropopliteal bypass. Patients with a preoperative ankle/brachial Doppler pressure index of less than 0.2 had a 67% occlusion rate during the first postoperative month. Thrombectomy and distal revisions (patch or jump graft) following graft occlusion did not significantly prolong graft patency.

AB - This clinical review of 70 polytetrafluoroethylene femoropopliteal and femoral-distal (tibial or peroneal) bypasses for limb salvage analyzes factors that influence graft patency. Patients with "good" angiographic run-off (n = 26) had a significantly better (P < 0.01) cumulative patency rate when compared to patients with "poor" (n = 43) angiographic run-off. Other factors which had a significant influence on graft patency over the 2-year follow-up included site of distal anastomosis (femoropopliteal versus femoral-distal), and previously failed femoropopliteal bypass. Patients with a preoperative ankle/brachial Doppler pressure index of less than 0.2 had a 67% occlusion rate during the first postoperative month. Thrombectomy and distal revisions (patch or jump graft) following graft occlusion did not significantly prolong graft patency.

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Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage

Abstract

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