Over a 5 1/2 year period, 66 Dacron femoropopliteal grafts were performed for patients with an absent or unsuitable long saphenous vein. The minimum follow-up has been 6 months and cumulative patency was 50 per cent at 5 years. Twenty-five patients had critical ischaemia (preoperative Doppler ankle pressure less than 40 mmHg) and 41 patients had severe ischaemia (pre-operative ankle pressure greater than 40 mmHg). The procedure significantly improved ankle pressures in both groups and this was maintained at follow-up. In the group of 25 patients with critical ischaemia there were three operative deaths and in 10 the graft subsequently occluded, precipitating an amputation. In the group of forty-one patients with severe ischaemia, there was one operative death and in two patients the graft occluded at 18 and 24 months. In this small series there was no significant difference in patency, whether the graft was placed to the popliteal artery above or below the knee joint, or whether the popliteal had less than three patent branches at its trifurcation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/bjs.1800730110 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Results of Surgical Treatment for Popliteal Aneurysm.
Ann Vasc Surg
March 2022
Vascular Surgery Department, Universitary Hospital Lucus Augusti, Lugo, Spain.
Background: Evaluate the results of open surgery treatment of popliteal artery aneurysms (PAAs), performed in our department for over 25 years, comparing those treated with a medial approach with those treated with a posterior approach.
Material And Method: A retrospective analysis of a total of 88 PAAs, performed between January 1994 and December 2018, with an average of 65 months follow-up, comparing the results of 59 patients operated by a medial approach (group 1) in which aneurysm exclusion and femoro-popliteal bypass below the knee was carried out, with 29 cases treated by a direct posterior approach (group 2) - aneurismectomy and graft interposition-. The postoperative complications, immediate and long term patency, limb salvage and mortality rate were studied.
Eversion Endarterectomy of the Femoral Bifurcation: Technique, Results and Potential Advantages.
Ann Vasc Surg
July 2020
Vascular Surgery Division, San Carlo Hospital, Potenza, Italy.
Background: Despite recent advances in endovascular techniques, surgical endarterectomy remains the "gold standard" for treatment of atherosclerotic lesions of the femoral bifurcation. Eversion endarterectomy (EE) of the femoral bifurcation is a well-known technique that ensures an extensive plaque removal; furthermore, EE can be performed to avoid the use of prosthetic material. The aim of this study is to evaluate the efficacy and safety of the EE of the femoral bifurcation in a contemporary prospective series from a single-center experience.
View Article and Find Full Text PDFAn experimental evaluation of the mechanics of bare and polymer-covered self-expanding wire braided stents.
J Mech Behav Biomed Mater
March 2020
Biomechanics Research Centre (BioMEC), Biomedical Engineering, School of Engineering, College of Science and Engineering, National University of Ireland Galway, Galway, Ireland. Electronic address:
Self-expanding wire braided stents have been used in a wide-range of medical implant applications due to the distinct flexibility offered by the wide-range of tunable design parameters, which includes braid angle, wire diameter and braid pattern. Recently, there has been increasing attention on developing covered stent systems in endovascular repair, whereby the stent frame is wrapped with a graft or textile material, typically made from expanded polytetrafluoroethylene (ePTFE) or polyester (PET, Dacron). However, the addition of a polymeric cover to a wire braided stent fundamentally changes its mechanism(s) of deformation and there is distinct lack of understanding how the functional performance of these systems compares to their bare-metal counterparts.
View Article and Find Full Text PDFCardiac Angiosarcoma from a Saphenous Vein Coronary Artery Bypass Graft.
Cureus
August 2019
Radiation Oncology, University of Washington, Seattle, USA.
Primary cardiac sarcomas (PCS) are rare and the prognosis is generally poor. Angiosarcomas are the most common cardiac sarcoma histology. The best management of PCS is poorly defined.
View Article and Find Full Text PDFThe Debatable Choice of Iliac Inflow Source for Redo Femoropopliteal and Infrapopliteal Bypass.
Ann Vasc Surg
October 2018
Department of vascular and Endovascular Surgery, San Salvatore Hospital, L'Aquila, Italy.
Background: Redo area region operation is associated with a significant morbidity such as neurovascular injury, infection, and lymphorrhea. The traditional management of occluded femoropopliteal grafts often includes redissection of a scarred groin to obtain adequate inflow via the common femoral artery. These procedures are more technically demanding and require more expertise and judgment than the primary operation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!