Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft
Purpose: Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft. Materials and Methods: W...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2017-06-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2017.33.2.65 |
| _version_ | 1828230399581487104 |
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| author | Myung Jae Jin Ui Jun Park Hyoung Tae Kim Young-Nam Roh |
| author_facet | Myung Jae Jin Ui Jun Park Hyoung Tae Kim Young-Nam Roh |
| author_sort | Myung Jae Jin |
| collection | DOAJ |
| description | Purpose: Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft.
Materials and Methods: We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from March 2012 to November 2016.
Results: Critical limb ischemia was common (63.6%) indication of bypass surgery and most (90.9%) of the patients had history of failed previous treatment including endovascular treatment (36.4%) and bypass surgery (72.7%). At the 2 years after graft implantations, primary patency and amputation-free survival of below-knee bypasses using composite graft were 73% and 76%, respectively.
Conclusion: Infrainguinal arterial bypasses with composite graft had an acceptable patency. In patients without other alternative conduits for revascularization, bypass with a composite graft can be an option. |
| first_indexed | 2024-04-12T18:47:53Z |
| format | Article |
| id | doaj.art-1b64805dfb854d6e87e607df8b4a016d |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-04-12T18:47:53Z |
| publishDate | 2017-06-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-1b64805dfb854d6e87e607df8b4a016d2022-12-22T03:20:33ZengMedrangVascular Specialist International2288-79702017-06-01332657110.5758/vsi.2017.33.2.65vsi.2017.33.2.65Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein GraftMyung Jae Jin0Ui Jun Park1Hyoung Tae Kim2Young-Nam Roh3Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaDivision of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Daegu, KoreaDivision of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Daegu, KoreaDivision of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Daegu, KoreaPurpose: Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft. Materials and Methods: We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from March 2012 to November 2016. Results: Critical limb ischemia was common (63.6%) indication of bypass surgery and most (90.9%) of the patients had history of failed previous treatment including endovascular treatment (36.4%) and bypass surgery (72.7%). At the 2 years after graft implantations, primary patency and amputation-free survival of below-knee bypasses using composite graft were 73% and 76%, respectively. Conclusion: Infrainguinal arterial bypasses with composite graft had an acceptable patency. In patients without other alternative conduits for revascularization, bypass with a composite graft can be an option.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2017.33.2.65InfrainguinalBypassComposite graft |
| spellingShingle | Myung Jae Jin Ui Jun Park Hyoung Tae Kim Young-Nam Roh Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft Vascular Specialist International Infrainguinal Bypass Composite graft |
| title | Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft |
| title_full | Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft |
| title_fullStr | Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft |
| title_full_unstemmed | Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft |
| title_short | Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft |
| title_sort | results of infrainguinal bypass with a composite graft combining polytetrafluoroethylene and vein graft in absence of appropriate saphenous vein graft |
| topic | Infrainguinal Bypass Composite graft |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2017.33.2.65 |
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