[Late complications after alloplastic vascular replacement].
The follow-up of 273 AAA patients operated 1981-1985 showed a mean dilation of polyester grafts of 17.4% in 12 days and 34.8% in 3 years. This early dilation is due to mesh expansion of the warp knitted grafts. It has no clinical relevance. In contrary the late dilation after approximately 10 years is due to degradation. The evaluation of 436 explanted grafts attained from 75 hospitals showed graft rupture to be the cause of the explanation for 42/255 (16%) polyester grafts and 2/42 (5%) PTFE grafts. The most ruptures were observed in the surrounding of the inguinal ligament after 10 to 20 years of duration. In comparison to modern endovascular grafts the conventional polyester and PTFE grafts still are the gold standard of durability.
Riepe
G
G
Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Allgemeines Krankenhaus Harburg, Eissendorfer Pferdeweg 52, 21075 Hamburg.
Chakfé
N
N
Meincke
J
J
Nassutt
R
R
Seemann
D
D
Klinggräff
G
G
Morlock
M
M
Imig
H
H
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation; D019544:Equipment Failure Analysis; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D011091:Polyesters; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D015607:Stents
D011091:Polyesters; D011138:Polytetrafluoroethylene