Clinical results of femoropopliteal bypass using externally supported (EXS) Dacron grafts: with a comparison of above- and below-knee anastomosis.
As of the end of September 1989, 52 EXS Dacron grafts had been implanted for femoropopliteal bypass operations. The distal ends of 27 grafts were anastomosed to above-knee popliteal arteries and those of 25 grafts to below-knee popliteal arteries. The cumulative patency rate of above-knee grafts was 71.3% at 54 months, and that of below-knee grafts was 78.8% at 48 months (n.s.). Kinking and stenosis of the arteriosclerotic proximal and/or mid popliteal artery when the knee was bent were angiographically remarkable. These changes may explain why some femoropopliteal grafts occlude with time and why the late results of above-knee grafts are not much better than those of below-knee grafts.
Matsubara
J
J
Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University, Ishikawa, Japan.
Nagasue
M
M
Tsuchishima
S
S
Nakatani
B
B
Shimizu
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods / Q000592:standards*; D001162:Arteriosclerosis Obliterans / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000592:standards*; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007717:Knee / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000627:therapeutic use*; D011150:Popliteal Artery / Q000601:surgery*; D011859:Radiography; D012307:Risk Factors; D014654:Vascular Patency
D011093:Polyethylene Terephthalates