title: Axillo-femoral (PTFE) and infrainguinal revascularization (PTFE and umbilical vein). Vascular Registry of the New England Society for Vascular Surgery.
abstract: The Vascular Registry Committee of the New England Society for Vascular Surgery (NESVS) has prospectively evaluated prosthetic bypass grafts. A record of these operations and follow-up data were voluntarily submitted by members of the Society during the last 13 years. The 5-year primary patency rate for 103 axillo-femoral procedures was significantly greater for the bifemoral group (55%) than for the unifemoral group (14%). For infrainguinal reconstruction (402 cases), the 5-year primary patency rates were as follows: 57% (fem-pop AK PTFE claudication); 46% (fem-pop AK PTFE rest pain); 32% (fem-pop AK PTFE necrosis); 26% (fem-pop BK PTFE claudication); 17% (fem-pop BK PTFE rest pain); 21% (fem-pop BK PTFE necrosis); 69% (fem-pop AK umbilical vein); and 45% (fem-pop BK umbilical vein). None of the femoral tibial or peroneal prosthetic bypass grafts remained patent for 5 years. Umbilical vein bypasses may have had a higher patency than PTFE bypass; however, they did develop aneurysmal changes.
authors.affiliation: Department of Surgery (112), VA Medical Center, Boston, MA 02130.
authors.forename: W C
authors.initials: WC
authors.lastname: Johnson
authors.forename: J W
authors.initials: JW
authors.lastname: Squires
mesh_terms: D000368:Aged; D001367:Axillary Vein / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000706:statistics & numerical data*; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011152:Popliteal Vein / Q000601:surgery; D011446:Prospective Studies; D012042:Registries; D014471:Umbilical Veins / Q000601:surgery; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data*
chemical_list: D011138:Polytetrafluoroethylene