Polytetrafluoroethylene in above-knee arterial bypass surgery for critical ischemia

Ó’Ríordáin, D. S.; Buckley, D. J.; O’Donnell, J. A.

doi:10.1016/s0002-9610(05)80370-8

Cited by 24 publications

(15 citation statements)

References 12 publications

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“…Hereby, our results are comparable with those of many other studies. 2,4,5,11,12,14,16,18,19,23,29,30 The average overall limb salvage duration was 133 months (11 years and 1 month) and the 1-, 3-, and 5-year overall limb salvage rate was 89.3%, 86.1%, and 84.9%. There was no need for amputation in 84.9% of patients after 10 years.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for better bypass patency and limb salvage after prosthetic above-knee bypass reconstruction

Klingelhoefer

Bergert

Kersting

et al. 2016

Journal of Vascular Surgery

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In our study, we determined the subjective improvement in symptoms as the most important prognostic factor for bypass function and limb salvage after PAKB. Furthermore, disease stage of critical ischemia, graft diameter, preoperative aspirin use, and postoperative statin medication were independent predictive factors. Therefore, PAD patients should be treated with aspirin pre- and postoperatively as well as with a statin postoperatively. In case of PAKB reconstruction only prostheses with a large diameter (>6 mm) should be used and the procedure should be performed by an experienced surgeon. Considering these results with regard to the predictive factors for better graft patency and limb salvage rates a significant more favorable outcome during the follow-up and an increased 5-year patency rate for PAKB reconstructions can be expected.

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Section: Discussionmentioning

confidence: 99%

Predictive factors for better bypass patency and limb salvage after prosthetic above-knee bypass reconstruction

Klingelhoefer

Bergert

Kersting

et al. 2016

Journal of Vascular Surgery

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“…In our study the e-PTFE operation was time was 98 minutes as compared to 240 minutes for venous bypass and the difference was statistically significant thus one can prefer e-PTFE as bypass graft of choice in patients with short life expectancy and high operative risk. 2,11 The use of e-PTFE did result in a significant increase in major limb amputation rates when compared with vein conduits. The patency rates for e-PTFE were distinctly inferior to those of vein hence significantly more re-interventions were necessary to maintain equivalent limb salvages rates.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] Many authors have reported that PTFE has comparable patency rates to autologous veins and is considered as a good alternative in such cases. 11,12 This study was conducted to find out if there is any difference in terms of primary and secondary patency rates between PTFE and autologous vein for infragenicular bypass, the probability of occlusion of these two conduits over the period of time and options in case of graft failure.…”

mentioning

confidence: 99%

Patency of Autologous Reverse Great Saphenous Vein Versus Polytetrafluroethylene in Below Knee Femoro popliteal Bypass Grafting

2016

J Surg Pak

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“…It is generally accepted that the material of choice for femoropopliteal below-knee bypass grafting is vein 3 –5 ; however, conflicting evidence exists when looking at above-knee reconstructions. Some of the earlier work 6,7 involving prosthetic grafts yielded promising results and this saw a rise in their use, which went on to be supported by prospective trials that showed comparable results with vein grafts. 8 –12 Arguments supporting the use of prosthetic grafts include shorter operating time, reduction in the amount of tissue dissection, and also preservation of the saphenous vein, which can then be used if subsequent lower limb arterial reconstruction or coronary artery bypass grafting is needed.…”

Section: Introductionmentioning

confidence: 92%

Vein Versus Prosthetic Graft for Femoropopliteal Bypass Above the Knee: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Sharrock

Antoniou

2019

Angiology

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Conflicting evidence exists surrounding which conduit material is preferable in above-knee femoropopliteal bypass surgery. We performed a systemic review of electronic information sources to identify randomized controlled trials (RCTs) comparing vein versus prosthetic grafts in above-knee femoropopliteal bypasses. Eight RCTs reporting 1271 grafts (608 saphenous vein and 663 prosthetic) in 1132 patients were included. At 5 years, the vein group had significantly higher primary patency (odds ratio [OR]: 1.73, 95% confidence interval [CI]: 1.17-2.55, P = 0.006), primary assisted patency (OR: 4.02, 95% CI: 2.84-5.70, P < 0.0001), and secondary patency (OR: 1.83, 95% CI: 1.20-2.80, P = 0.005) rates compared with the prosthetic group. The vein group required significantly fewer reinterventions (OR: 0.33, 95% CI: 0.18-0.60, P = 0.0003). There was no significant difference in 30-day mortality (risk difference: −0.01, 95% CI: −0.02 to 0.01, P = 0.34), 30-day morbidity (OR: 1.58, 95% CI: 0.61-4.06, P = 0.35), major amputation (OR: 0.71, 95% CI: 0.43-1.18, P = 0.19), or overall survival (OR: 0.95, 95% CI: 0.70-1.30, P = 0.76) when comparing vein versus prosthetic grafts. Our analysis supports the use of the saphenous vein in above-knee femoropopliteal bypass grafting owing to its superiority in primary, primary assisted, and secondary patency rates and less need for reintervention when compared with prosthetic grafts.

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Polytetrafluoroethylene in above-knee arterial bypass surgery for critical ischemia

Cited by 24 publications

References 12 publications

Predictive factors for better bypass patency and limb salvage after prosthetic above-knee bypass reconstruction

Predictive factors for better bypass patency and limb salvage after prosthetic above-knee bypass reconstruction

Patency of Autologous Reverse Great Saphenous Vein Versus Polytetrafluroethylene in Below Knee Femoro popliteal Bypass Grafting

Vein Versus Prosthetic Graft for Femoropopliteal Bypass Above the Knee: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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