PMID- 3410066
OWN - NLM
STAT- MEDLINE
DCOM- 19881011
LR  - 20191022
IS  - 0950-821X (Print)
IS  - 0950-821X (Linking)
VI  - 2
IP  - 3
DP  - 1988 Jun
TI  - Consequences of failure of femoro-popliteal grafts for claudication.
PG  - 183-9
AB  - In order to evaluate the repercussions of failure of femoro-popliteal 
      reconstruction undertaken for claudication the records of 219 patients with 251 
      femoro-popliteal conduits were reviewed. Autogenous Saphenous Vein graft (SV) was 
      used in 109 limbs, Polytetrafluoroethylene graft (PTFE) in 101 and human 
      umbilical vein graft (HUV) in 41. Primary patency rates after 3 years of 
      follow-up of 72% for all grafts, 81% for SV-grafts, 84% for HUV-grafts and 59% 
      for PTFE-grafts were calculated: the difference between SV-grafts and PTFE-grafts 
      is statistically significant (P = 0.0047). Accordingly the authors advise against 
      the use of PTFE-grafts in femoro-popliteal reconstruction. Including 
      reinterventions secondary patency rates after 3 years of follow-up of 88% for all 
      grafts, 86% for SV-grafts, 94% for HUV-grafts and 79% for PTFE-grafts were found: 
      these differences were statistically not significant. Further analysis of the 
      occluded grafts showed that in case of graft failure one or two re-operations are 
      justified. The 12-months patency rate of reinterventions was 58%. Considering the 
      life-expectancy and the natural history for the next five years of a patient with 
      claudication the authors have become conservative towards femoro-popliteal 
      reconstruction for claudication.
FAU - Blankensteijn, J D
AU  - Blankensteijn JD
AD  - Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
FAU - van Vroonhoven, T J
AU  - van Vroonhoven TJ
LA  - eng
PT  - Journal Article
PL  - England
TA  - Eur J Vasc Surg
JT  - European journal of vascular surgery
JID - 8709440
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Blood Vessel Prosthesis
MH  - Female
MH  - Femoral Artery/*surgery
MH  - Follow-Up Studies
MH  - Graft Occlusion, Vascular/*epidemiology/surgery
MH  - Humans
MH  - Intermittent Claudication/*surgery
MH  - Male
MH  - Middle Aged
MH  - Popliteal Artery/*surgery
MH  - Prognosis
MH  - Reoperation
MH  - Retrospective Studies
EDAT- 1988/06/01 00:00
MHDA- 1988/06/01 00:01
CRDT- 1988/06/01 00:00
PHST- 1988/06/01 00:00 [pubmed]
PHST- 1988/06/01 00:01 [medline]
PHST- 1988/06/01 00:00 [entrez]
AID - 10.1016/s0950-821x(88)80073-2 [doi]
PST - ppublish
SO  - Eur J Vasc Surg. 1988 Jun;2(3):183-9. doi: 10.1016/s0950-821x(88)80073-2.