A comparison of distal end-to-side and end-to-end anastomoses in femoropopliteal bypasses.
OBJECTIVE
to compare end-to-side (ETS) and end-to-end (ETE) distal anastomoses. Design retrospective cohort study.


METHODS
retrospective cohort study. Between 1988 and 1992, 204 femoropopliteal bypasses (188 patients) were performed for claudication (55%), rest pain (22%) and tissue loss (23%). One hundred and eighteen ETS were compared with 86 ETE in terms of patency or a mean (range) follow-up of 68 (0.5-120) months.


RESULTS
overall patency was 86%, 66% and 57% at 1, 5 and 8 years, respectively. Multivariate analysis showed ETE anastomoses (p =0.04), and also knee bypass ( p =0.05) and venous conduit ( p =0.004) to be significantly associated with impaired patency.


CONCLUSIONS
ETE may improve femoropopliteal bypass patency.
Hoedt
M T
MT
Department of Vascular Surgery, Erasmus University Medical Centre Rotterdam, P.O. Box 2040, Rotterdam, The Netherlands.
van Urk
H
H
Hop
W C
WC
van der Lugt
A
A
Wittens
C H
CH
D000714:Anastomosis, Surgical / Q000379:methods*; D001807:Blood Vessel Prosthesis; D016009:Chi-Square Distribution; D015331:Cohort Studies; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000601:surgery*; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D012307:Risk Factors; D018709:Statistics, Nonparametric; D016019:Survival Analysis; D016896:Treatment Outcome; D014654:Vascular Patency