Document Detail

[Five years experience with infra-inguinal arterial reconstruction: a comparison of venous with PTFE bypass].
MedLine Citation:
PMID:  1621437     Owner:  NLM     Status:  MEDLINE    
Since January 1983 one surgeon of our team has performed 200 infrainguinal arterial reconstructions. Our patients had a mean age of 72 years and suffered from multiple concomitant diseases (coronary heart disease 35%, cerebro-vascular insufficiency 15%, hypertension 49% and diabetes mellitus 34%). The indication for arterial reconstruction was a chronic critical ischemia in every case. 154 autologous veins and 46 PTFE prosthesis had to be implanted. The former consisted in 64% in a femoropopliteal and in 35% femorodistal bypass graft; respective values of the latter group were 80% and 20%. The cumulative survival rates of two collectives were nearly identical. More than 50% of our patients died in the 4 years observation period. The life table patency rates differed statistically significant (p less than 0.001). The cumulative 5 year patency amounted to 85% in case of a vein graft and to 43% if a PTFE prosthesis was inserted. Extremely poor results were achieved in case of a PTFE prosthesis with a distal anastomosis to a single crural artery; just one out of 6 procedures was successful after two years.
R Cacciatore; R Inderbitzi; P Stirnemann
Publication Detail:
Type:  Comparative Study; English Abstract; Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  21     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  1992  
Date Detail:
Created Date:  1992-07-31     Completed Date:  1992-07-31     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  SWITZERLAND    
Other Details:
Languages:  ger     Pagination:  171-6     Citation Subset:  IM    
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital Bern.
Vernacular Title:
Fünf Jahre Erfahrung mit infrainguinaler Arterienrekonstruktion: Ein Vergleich des Venen- mit dem PTFE-Bypass.
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MeSH Terms
Aged, 80 and over
Blood Vessel Prosthesis*
Follow-Up Studies
Graft Occlusion, Vascular / mortality
Ischemia / mortality,  surgery*
Leg / blood supply*
Middle Aged
Postoperative Complications / mortality
Saphenous Vein / transplantation*
Survival Rate
Reg. No./Substance:

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