1997
DOI: 10.1016/s0741-5214(97)70051-x
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Randomized trial comparing infrainguinal polytetrafluoroethylene bypass grafting with and without vein interposition cuff at the distal anastomosis

Abstract: There was no improvement in the patency rate with the use of a distal anastomosis interposition vein cuff in femoral-above-knee popliteal PTFE bypass grafts, but there was a statistically significant advantage when PTFE bypass grafts were anastomosed to the popliteal artery below the knee.

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Cited by 190 publications
(101 citation statements)
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“…The results, using prosthetic bypass, are reported to be inferior. Primary patency at 3 years for Polytetrafluoroethylene (PTFE) or Dacron is 42% and 55%, respectively, and 37% at 5 years [15,17,18].…”
Section: Discussionmentioning
confidence: 99%
“…The results, using prosthetic bypass, are reported to be inferior. Primary patency at 3 years for Polytetrafluoroethylene (PTFE) or Dacron is 42% and 55%, respectively, and 37% at 5 years [15,17,18].…”
Section: Discussionmentioning
confidence: 99%
“…These techniques, as well as further modifications such as the St Mary boot 8 , Karagacil's modified cuff 9 and other techniques 10,11 , have been applied clinically with reported improved patency rates 12 -14 . Few of these reports were randomized clinical trials 15,16 .…”
Section: Introductionmentioning
confidence: 99%
“…33 When forced to use prosthetic grafts for infrageniculate bypass, surgical modifications of the distal anastomosis, such as with the Miller cuff, Taylor patch, or St. Mary's boot, may improve patency by altering the compliance at the graft-vessel interface. 34 Recent improvements in prosthetic graft technology, notably heparin-bonding surface technology, may improve on the comparatively lower patency rates reported above. 35 Cryopreserved venous homografts have limited long-term patency as well, with outcomes akin to prosthetic grafts.…”
Section: Bypassmentioning
confidence: 99%