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Early results for below-knee bypasses using Distaflo.
Vasc Endovascular Surg. 2008 Dec-2009 Jan; 42(6):561-6.VE

Abstract

In patients who require lower extremity revascularization, prosthetic graft is a reasonable alternative in the absence of a suitable autologous vein conduit. However, prosthetic bypass grafts have limited patency, especially for infrageniculate reconstruction. Polytetrafluoroethylene grafts were geometrically modified at the distal end to increase their patency. The authors reviewed their experience with the Distaflo graft in patients who required lower extremity below-knee popliteal and tibial bypasses when no suitable autologous vein conduit was available. Chart review was conducted of the 57 patients who underwent 60 lower extremity bypasses over a 3-year period between June 2003 and April 2006. Twenty-four revascularizations were constructed to the tibial outflow sites, whereas the remaining grafts were placed to the below-knee (28) and above-knee (8) popliteal artery, respectively. Study endpoints were primary, assisted primary, secondary patency, and limb salvage at the time of follow-up. Distaflo bypass was performed at the infrageniculate level in 86.7% of cases (28 below-knee popliteal, 24 tibial). Mean follow-up time was 12 months (range, 0.5-37.5 months). At 1 year, primary, assisted primary, and secondary patencies and limb salvage rates for below-knee popliteal bypasses were 83.5%, 89.5%, 94.7%, and 94.4%, respectively. Primary, assisted primary, and secondary patencies and limb salvage rates for tibial bypasses were 44.4%, 44.4%, 63.2%, and 74.9%, respectively. Distaflo precuffed graft is a good alternative conduit for below-knee popliteal and tibial lower extremity reconstructions in the absence of an autologous vein and appears to have promising early patency and limb salvage rates even when used for tibial bypasses.

Authors+Show Affiliations

Department of Surgery, New York University School of Medicine, New York 10016, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18784116

Citation

Gulkarov, Iosif, et al. "Early Results for Below-knee Bypasses Using Distaflo." Vascular and Endovascular Surgery, vol. 42, no. 6, 2009, pp. 561-6.
Gulkarov I, Malik R, Yakubov R, et al. Early results for below-knee bypasses using Distaflo. Vasc Endovascular Surg. 2009;42(6):561-6.
Gulkarov, I., Malik, R., Yakubov, R., Gagne, P., Muhs, B. E., Rockman, C., Cayne, N. S., Jacobowitz, G. R., Lamparello, P. J., Adelman, M. A., & Maldonado, T. S. (2009). Early results for below-knee bypasses using Distaflo. Vascular and Endovascular Surgery, 42(6), 561-6. https://doi.org/10.1177/1538574408322659
Gulkarov I, et al. Early Results for Below-knee Bypasses Using Distaflo. Vasc Endovascular Surg. 2008 Dec-2009 Jan;42(6):561-6. PubMed PMID: 18784116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early results for below-knee bypasses using Distaflo. AU - Gulkarov,Iosif, AU - Malik,Rajesh, AU - Yakubov,Rakhsim, AU - Gagne,Paul, AU - Muhs,Bart E, AU - Rockman,Caron, AU - Cayne,Neal S, AU - Jacobowitz,Glenn R, AU - Lamparello,Patrick J, AU - Adelman,Mark A, AU - Maldonado,Thomas S, Y1 - 2008/09/10/ PY - 2008/9/12/pubmed PY - 2009/2/13/medline PY - 2008/9/12/entrez SP - 561 EP - 6 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 42 IS - 6 N2 - In patients who require lower extremity revascularization, prosthetic graft is a reasonable alternative in the absence of a suitable autologous vein conduit. However, prosthetic bypass grafts have limited patency, especially for infrageniculate reconstruction. Polytetrafluoroethylene grafts were geometrically modified at the distal end to increase their patency. The authors reviewed their experience with the Distaflo graft in patients who required lower extremity below-knee popliteal and tibial bypasses when no suitable autologous vein conduit was available. Chart review was conducted of the 57 patients who underwent 60 lower extremity bypasses over a 3-year period between June 2003 and April 2006. Twenty-four revascularizations were constructed to the tibial outflow sites, whereas the remaining grafts were placed to the below-knee (28) and above-knee (8) popliteal artery, respectively. Study endpoints were primary, assisted primary, secondary patency, and limb salvage at the time of follow-up. Distaflo bypass was performed at the infrageniculate level in 86.7% of cases (28 below-knee popliteal, 24 tibial). Mean follow-up time was 12 months (range, 0.5-37.5 months). At 1 year, primary, assisted primary, and secondary patencies and limb salvage rates for below-knee popliteal bypasses were 83.5%, 89.5%, 94.7%, and 94.4%, respectively. Primary, assisted primary, and secondary patencies and limb salvage rates for tibial bypasses were 44.4%, 44.4%, 63.2%, and 74.9%, respectively. Distaflo precuffed graft is a good alternative conduit for below-knee popliteal and tibial lower extremity reconstructions in the absence of an autologous vein and appears to have promising early patency and limb salvage rates even when used for tibial bypasses. SN - 1538-5744 UR - https://www.unboundmedicine.com/medline/citation/18784116/Early_results_for_below_knee_bypasses_using_Distaflo_ L2 - http://journals.sagepub.com/doi/full/10.1177/1538574408322659?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -