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Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material.
Eur J Vasc Endovasc Surg. 2005 Apr; 29(4):412-8.EJ

Abstract

OBJECTIVE To determine the long-term results of above-knee femoro-popliteal bypass with autologous saphenous vein (SV) or expanded polytetrafluoroethylene (ePTFE) in routine surgical practice.

METHODS

Data from the Swedish vascular registry, Swedvasc, was reviewed retrospectively. Patients with bypass surgery in 1996 and 1997 were assessed 5-7 years later. Data were gathered from the case-records and from clinical follow-up. The composite endpoint of graft failure included death within 30 days, occlusion, major amputation, extension of the graft to below-knee position and removal of an infected graft. Kaplan-Meier curves and Cox' proportional hazard ratios were calculated.

RESULTS

Four hundred and ninety-nine patients undergoing bypass for critical limb ischemia (CLI) (56%) or claudication (44%), SV (28%) or ePTFE (72%), were included. There were no significant differences in patient characteristics between patients with SV or ePTFE. CLI and ePTFE were risk factors for graft failure. For patients with both claudication and CLI SV grafts yielded better long-term results than ePTFE grafts (p <0.03) and (p <0.003), respectively. Symptom aggravation after graft occlusion was almost exclusively restricted to ePTFE grafts.

CONCLUSIONS

Femoro-popliteal bypass above-knee with SV gives good long-term results, especially for claudication. ePTFE grafts cannot be recommended in claudicants, since occlusion occurs often and frequently leads to CLI.

Authors+Show Affiliations

Department of Thoracic and Vascular Surgery, Uniuversity Hospital of Linköping, S-58185 Linköping, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

15776397

Citation

Berglund, J, et al. "Long-term Results of Above Knee Femoro-popliteal Bypass Depend On Indication for Surgery and Graft-material." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 29, no. 4, 2005, pp. 412-8.
Berglund J, Björck M, Elfström J, et al. Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material. Eur J Vasc Endovasc Surg. 2005;29(4):412-8.
Berglund, J., Björck, M., & Elfström, J. (2005). Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 29(4), 412-8.
Berglund J, et al. Long-term Results of Above Knee Femoro-popliteal Bypass Depend On Indication for Surgery and Graft-material. Eur J Vasc Endovasc Surg. 2005;29(4):412-8. PubMed PMID: 15776397.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material. AU - Berglund,J, AU - Björck,M, AU - Elfström,J, AU - ,, PY - 2005/3/19/pubmed PY - 2005/5/4/medline PY - 2005/3/19/entrez SP - 412 EP - 8 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 29 IS - 4 N2 - UNLABELLED: OBJECTIVE To determine the long-term results of above-knee femoro-popliteal bypass with autologous saphenous vein (SV) or expanded polytetrafluoroethylene (ePTFE) in routine surgical practice. METHODS: Data from the Swedish vascular registry, Swedvasc, was reviewed retrospectively. Patients with bypass surgery in 1996 and 1997 were assessed 5-7 years later. Data were gathered from the case-records and from clinical follow-up. The composite endpoint of graft failure included death within 30 days, occlusion, major amputation, extension of the graft to below-knee position and removal of an infected graft. Kaplan-Meier curves and Cox' proportional hazard ratios were calculated. RESULTS: Four hundred and ninety-nine patients undergoing bypass for critical limb ischemia (CLI) (56%) or claudication (44%), SV (28%) or ePTFE (72%), were included. There were no significant differences in patient characteristics between patients with SV or ePTFE. CLI and ePTFE were risk factors for graft failure. For patients with both claudication and CLI SV grafts yielded better long-term results than ePTFE grafts (p <0.03) and (p <0.003), respectively. Symptom aggravation after graft occlusion was almost exclusively restricted to ePTFE grafts. CONCLUSIONS: Femoro-popliteal bypass above-knee with SV gives good long-term results, especially for claudication. ePTFE grafts cannot be recommended in claudicants, since occlusion occurs often and frequently leads to CLI. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/15776397/Long_term_results_of_above_knee_femoro_popliteal_bypass_depend_on_indication_for_surgery_and_graft_material_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078588404005982 DB - PRIME DP - Unbound Medicine ER -