Femoropopliteal bypass with a Goretex prosthesis: a long-term follow-up.
This report describes a series of 101 femoropopliteal bypasses performed on 85 patients (16 bilateral procedures), in whom a 6 mm diameter polytetrafluoroethylene prosthesis (Goretex) was used. The indication for operation was severe claudication in 58 cases and pregangrene in 43 cases. After one year there was a statistically significant difference between the cumulative patency rates for these two subgroups at 66 and 29 per cent respectively (P less than 0.001). In patients with good 'run-off, i.e. three patent vessels in the lower leg, there was a tendency for the bypasses to remain patent for longer than in patients in whom there were only one or two vessels present (e.g. 58 and 33 per cent respectively at 2 years), although this trend was not statistically significant. At 3 years the cumulative patency rate for the whole group was 36 per cent and for claudicants alone was 48 per cent.
D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D005734:Gangrene; D006083:Graft Occlusion, Vascular; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery*; D013997:Time Factors
D011138:Polytetrafluoroethylene