Document Detail


Tibial and peroneal artery bypasses using polytetrafluoroethylene (PTFE) with an interposition vein cuff.
MedLine Citation:
PMID:  10815375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The combined results of femoro-distal bypasses using prosthetic material with vein cuffs from two separate vascular units is presented. METHOD: Over the last five years, 89 infrainguinal bypasses using polytetrafluoroethylene (PTFE) with a distal interposition vein cuff to a tibial artery have been performed in two centres. All operations were for critical limb ischaemia. The mean age was 72 years (47-90), there were 46 males and 43 females, 27 of whom were diabetic. Twenty-eight patients had a history of angina and/or previous myocardial infarct. The median follow-up was 12 months (0-68 months). RESULTS: During the follow-up period there were 28 deaths, 35 major limb amputations and 44 graft failures. The graft patency rates at 12 and 24 months were 50 and 32%, and limb salvage rates were 53 and 44%, respectively. The patient survival rates were 66 and 61%, respectively. CONCLUSION: The authors believe that the likely improvement in pain free quality of life the patient may enjoy with a successful bypass shifts the balance in some individuals towards bypass surgery using PTFE with a vein cuff to a tibial artery when such an option is possible.
Authors:
P A Stonebridge; S Naidu; M P Colgan; D J Moore; D G Shanik; P T McCollum
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  45     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-06-14     Completed Date:  2000-06-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  17-20     Citation Subset:  IM    
Affiliation:
Vascular Surgical Service, Ninewells Hospital, Dundee, U.K.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Vessel Prosthesis*
Female
Humans
Ischemia / surgery
Leg / blood supply
Male
Middle Aged
Peripheral Vascular Diseases / surgery
Polytetrafluoroethylene*
Quality of Life
Retrospective Studies
Tibial Arteries / pathology,  surgery
Treatment Outcome
Vascular Patency
Veins / transplantation*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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