Document Detail

External reinforcement of varicose veins with PTFE prosthesis in infrainguinal bypass surgery -- clinical results.
MedLine Citation:
PMID:  12730812     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Segmental varicose degeneration of the autogenous greater saphenous vein may limit its use in infrainguinal bypass surgery. Wrapping a PTFE prosthesis around dilated veins has emerged as an option to create externally reinforced vein bypasses. Results regarding graft patency and limb salvage were analyzed. METHODS: Between September 1995 and January 2001, 35 infrainguinal bypass operations in 33 patients were performed with greater saphenous veins exhibiting segmental varicose dilatation. Grafts were followed by duplex scan and retrospective analysis of graft patency and limb salvage was performed. RESULTS: One bypass prompted successful revision for early occlusion. Four bypasses required additional reintervention during follow-up. 48 months primary, primary assisted and secondary patency rates were 66%, 82% and 82%, respectively, with a limb salvage rate of 97%. Duplex scan failed to demonstrate stenosis of the reinforced vein segments or aneurysmal degeneration of the residual vein. CONCLUSION: External reinforcement with a PTFE prosthesis allows the use of autogenous greater saphenous veins with varicose dilatation and enables the construction of all autogenous bypasses with promising graft patency and limb salvage.
A Neufang; B Dorweiler; C Espinola-Klein; J Reinstadler; D Kirsch; W Schmiedt; H Oelert
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  51     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-05     Completed Date:  2003-08-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  62-6     Citation Subset:  IM    
Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg-University School of Medicine, Mainz, Germany.
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MeSH Terms
Aged, 80 and over
Blood Vessel Prosthesis Implantation / instrumentation*
Coated Materials, Biocompatible / therapeutic use
Combined Modality Therapy
Follow-Up Studies
Graft Occlusion, Vascular / etiology,  mortality
Inguinal Canal / surgery*
Middle Aged
Polytetrafluoroethylene / therapeutic use*
Popliteal Vein / physiopathology,  radiography,  surgery
Retrospective Studies
Saphenous Vein / physiopathology,  radiography,  surgery
Severity of Illness Index
Survival Analysis
Time Factors
Treatment Outcome
Varicose Veins / mortality,  physiopathology,  therapy*
Vascular Patency / physiology
Reg. No./Substance:
0/Coated Materials, Biocompatible; 9002-84-0/Polytetrafluoroethylene

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