A meta-analysis to compare Dacron versus polytetrafluroethylene grafts for above-knee femoropopliteal artery bypass

Abstract

Current evidence suggests that Dacron prosthetic grafts are superior to PTFE grafts in above-knee femoropopliteal arterial bypass procedures. Further randomized trials targeting standardization of confounding variables, particularly graft size and best medical therapy, are warranted.

Three-year outcome of the heparin-bonded Viabahn for superficial femoral artery occlusive disease

“…In a recent meta-analysis, Rychlik et al 16 have shown that the 3-year primary patency rate for prosthetic above-knee bypasses is 46% to 70%, which is in line with the results of our study. Obviously, patient groups might not be comparable as they have not been matched.…”

Surgical Intervention for Peripheral Arterial Disease

“…Only subtle differences in outcomes have been observed among different prosthetics grafts in the below knee popliteal position, whether using Dacron, PTFE, ringed PTFE, and more recently, heparin bonded PTFE. 67 Short-term results with bypass surgery are also excellent, with early graft failure occurring in ≈5% of vein bypass procedures, largely a result of technical errors. 15 Virtually all patients develop lower extremity edema postoperatively with symptoms that may last for several months.…”

Carotid Bifurcation Resection and Interposition of a Polytetrafluorethylene Graft (BRIG) for Carotid Disease: A Retrospective Study of 153 Consecutive Procedures

“…A concern might be the long-term patency of the of our PTFE graft, given the experience in lower extremity revascularization. It is well known that femoropopliteal bypasses using PTFE grafts have a lower long term patency, especially at 2 years post-operatively 22 . However, in our series we have 13 patients with a follow-up period exceeding 5 years with perfect patency as confirmed on Duplex and CT or MRI angiography.…”