title: Femorofemoral bypass with femoral popliteal vein.
abstract: BACKGROUND
  The femoropopliteal vein (FPV) has been used successfully for vascular reconstructions at multiple sites. To date, there have been no studies documenting patency of the FPV graft in the femorofemoral position. Our goal was to assess long-term patency of the FPV graft used for femorofemoral bypass (FFBP).
  
  
  METHODS
  Patients undergoing FFBP over a 10-year period were studied. Those in whom the FPV was used as a conduit were analyzed for runoff resistance score to assess how patients with poor runoff fared. Poor runoff was defined as a runoff resistance score of > or =7 (1 = normal runoff, 10 = total occlusion of all runoff vessels).
  
  
  RESULTS
  Fifty-four patients underwent FPV FFBP as a sole procedure (n = 16, 30%) or as a portion of an aortofemoral reconstruction with a FFBP component (n = 38, 70%). Mean (+/- SD) follow-up was 47 +/- 33 months. The 1-, 3-, and 5-year primary patencies were 97%, 93%, and 76%. The 5-year assisted primary and secondary patency rates were 85% and 90%. Among 27 patients with poor runoff (runoff resistance score of > or =7), the cumulative 40 month patency rate was 90%. Among patients in whom FPV FFBP was performed as a primary procedure (no aortofemoral component), there were no graft failures.
  
  
  CONCLUSIONS
  FFBP performed with FPV has excellent 1-, 3, and 5-year patency rates. FPV has sustained patency for FFBP in patients with poor runoff.
authors: University of Texas Southwestern Medical Center, Dallas, 75390, USA.
authors: Victor
authors: V
authors: D'Addio
authors: Ahsan
authors: A
authors: Ali
authors: Carlos
authors: C
authors: Timaran
authors: Tif
authors: T
authors: Siragusa
authors: James
authors: J
authors: Valentine
authors: Frank
authors: F
authors: Arko
authors: J Gregory
authors: JG
authors: Modrall
authors: G Patrick
authors: GP
authors: Clagett
mesh_terms: D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011152:Popliteal Vein / Q000637:transplantation*; D014652:Vascular Diseases / Q000601:surgery*; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*