title: Improved technique for polytetrafluoroethylene bypass grafting: long-term results using anastomotic vein patches.
abstract: Results of peripheral arterial bypass using polytetrafluoroethylene grafts have remained poor in comparison with those using saphenous vein grafts, particularly for anastomoses to tibial and peroneal vessels. A simple modification to the conventional operative technique, involving the incorporation of a vein patch into the distal anastomosis, has enabled considerable improvement. Five-year patency rates of 71 per cent for popliteal and 54 per cent for infrapopliteal grafts have been achieved in a series of 256 patients operated on between 1982 and 1989.
authors.affiliation: Department of Vascular Surgery, St George's Hospital, London, UK.
authors.forename: R S
authors.initials: RS
authors.lastname: Taylor
authors.forename: A
authors.initials: A
authors.lastname: Loh
authors.forename: R J
authors.initials: RJ
authors.lastname: McFarland
authors.forename: M
authors.initials: M
authors.lastname: Cox
authors.forename: J F
authors.initials: JF
authors.lastname: Chester
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery; D011379:Prognosis; D016909:Tibial Arteries / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D011138:Polytetrafluoroethylene