A five- to seven-year experience with externally-supported Dacron prostheses in axillofemoral and femoropopliteal bypass.
We have examined the clinical results of 56 externally-supported (EXS) Dacron grafts in the axillofemoral position and 117 in the femoropopliteal position. Results have been analyzed from two perspectives: primary patency concerns only those grafts that had never occluded; extended patency refers to all open grafts including those whose continued patency is the result of thrombectomy. The 5-to 7-year life-table patency rates are: axillofemoral 8 mm and 6 mm bypass: primary 75% and extended 97%; above-knee femoropopliteal 6 mm bypass: primary 78% and extended 93%; below-knee 6 mm femoropopliteal bypass: primary 41% and extended 91%. In contrast, the results for the 5 mm grafts used for femoropopliteal bypass were inferior to the 6 mm grafts: femoropopliteal 5 mm bypasses had an above-knee primary patency rate of 44% and an extended rate of 55%, with a below-knee primary patency rate of 15% and an extended rate of 32%. Rendering the noncrimped porous Dacron prosthesis kink and compression resistant by an external support coil appears to increase its potential for successful use, especially in 8 mm axillofemoral and 6 mm femoropopliteal bypasses.
Schultz
G A
GA
Bob Hope International Heart Research Institute, Seattle, Washington.
Sauvage
L R
LR
Mathisen
S R
SR
Mansfield
P B
PB
Smith
J C
JC
Davis
C C
CC
Hall
D G
DG
Rittenhouse
E A
EA
Kowalsky
T E
TE
D000206:Actuarial Analysis; D000368:Aged; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000453:epidemiology; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D011093:Polyethylene Terephthalates; D011150:Popliteal Artery / Q000601:surgery*; D011474:Prosthesis Design; D013997:Time Factors; D014654:Vascular Patency
D011093:Polyethylene Terephthalates