Document Detail


Femoropopliteal composite bypass grafts: current status.
MedLine Citation:
PMID:  7089867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Controversy continues regarding the best arterial substitute for femoropopliteal reconstruction if an adequate length of autogenous saphenous vein is not available. To evaluate the role of composite grafts as an alternate vascular conduit, we have analyzed our experience with 39 femoropopliteal composite grafts as compared with a similar group of 79 below-knee prosthetic reconstructions. The 5-year cumulative patency rates for composite and prosthetic reconstructions to the distal popliteal artery were not statistically different (38 +/- 9% and 31 +/- 8%, respectively). The amount of vein relative to prosthesis did not appear to influence late patency. Both alternate reconstructive methods were significantly inferior to the 73 +/- 3% 5-year patency rate of autogenous vein bypass grafts. Based on this experience, we have abandoned the use of composite grafts for primary femoropopliteal reconstruction, since currently available prosthetic grafts appear to have similar long-term function.
Authors:
A J LaSalle; D C Brewster; J D Corson; R C Darling
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  92     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-08-14     Completed Date:  1982-08-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  36-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis*
Femoral Artery / transplantation*
Graft Survival
Humans
Leg / blood supply
Popliteal Artery / transplantation*
Postoperative Complications
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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