Long term results of polytetrafluoroethylene in above knee femoropopliteal bypass for critical ischaemia.

Hdl Handle:
http://hdl.handle.net/10147/209168
Title:
Long term results of polytetrafluoroethylene in above knee femoropopliteal bypass for critical ischaemia.
Authors:
Kavanagh, E G; O'Riordain, D S; Buckley, D J; O'Donnell, J A
Affiliation:
Department of Surgery, Cork University Hospital.
Citation:
Ir J Med Sci. 1998 Oct-Dec;167(4):221-4.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209168
PubMed ID:
9868858
Abstract:
Ninety-six consecutive above-knee femoropopliteal bypasses, using polytetrafluoroethylene (PTFE) preferentially, were performed for limb-threatening ischaemia. Cumulative primary graft patency was 68 per cent, 49 per cent and 36 per cent and limb salvage 93 per cent, 85 per cent and 75 per cent at 1, 3 and 5 yr respectively. As a result of poor long term survival (51 per cent at 5 yr), and the healing of remedial lesions before graft occlusion, 68 patients (72 per cent) required no further intervention. Eighteen secondary bypasses were undertaken, 12 using ipsilateral saphenous vein. In this group of elderly patients with poor life expectancy, where a limited operation is desirable, the use of PTFE provided excellent limb salvage with low morbidity. Although we can no longer justify our continued use of PTFE in every case of critical ischaemia because of its inferior patency to autogenous vein, we continue to use it preferentially in patients whose lifespan is likely to be short and in cases where a remedial lesion is present.
Language:
eng
MeSH:
Aged; *Blood Vessel Prosthesis Implantation; Female; Humans; Ischemia/*surgery; Leg/*blood supply; Male; *Polytetrafluoroethylene; Treatment Outcome; Vascular Patency
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKavanagh, E Gen_GB
dc.contributor.authorO'Riordain, D Sen_GB
dc.contributor.authorBuckley, D Jen_GB
dc.contributor.authorO'Donnell, J Aen_GB
dc.date.accessioned2012-02-03T15:14:04Z-
dc.date.available2012-02-03T15:14:04Z-
dc.date.issued2012-02-03T15:14:04Z-
dc.identifier.citationIr J Med Sci. 1998 Oct-Dec;167(4):221-4.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid9868858en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209168-
dc.description.abstractNinety-six consecutive above-knee femoropopliteal bypasses, using polytetrafluoroethylene (PTFE) preferentially, were performed for limb-threatening ischaemia. Cumulative primary graft patency was 68 per cent, 49 per cent and 36 per cent and limb salvage 93 per cent, 85 per cent and 75 per cent at 1, 3 and 5 yr respectively. As a result of poor long term survival (51 per cent at 5 yr), and the healing of remedial lesions before graft occlusion, 68 patients (72 per cent) required no further intervention. Eighteen secondary bypasses were undertaken, 12 using ipsilateral saphenous vein. In this group of elderly patients with poor life expectancy, where a limited operation is desirable, the use of PTFE provided excellent limb salvage with low morbidity. Although we can no longer justify our continued use of PTFE in every case of critical ischaemia because of its inferior patency to autogenous vein, we continue to use it preferentially in patients whose lifespan is likely to be short and in cases where a remedial lesion is present.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.mesh*Blood Vessel Prosthesis Implantationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIschemia/*surgeryen_GB
dc.subject.meshLeg/*blood supplyen_GB
dc.subject.meshMaleen_GB
dc.subject.mesh*Polytetrafluoroethyleneen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshVascular Patencyen_GB
dc.titleLong term results of polytetrafluoroethylene in above knee femoropopliteal bypass for critical ischaemia.en_GB
dc.contributor.departmentDepartment of Surgery, Cork University Hospital.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

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