Factors influencing patency of infrainguinal bypasses with polytetrafluoroethylene

Acta Chir Belg. 1999 Oct;99(5):236-40.

Abstract

This retrospective study was undertaken to investigate the patency and limb salvage rates of 308 PTFE infrainguinal bypasses in 272 patients over a 5-year period. In addition a univariate analysis was performed to identify factors that could predict the outcome of these operations. Long-term survival was 83% and 50% at one and five years respectively. For the whole series the primary cumulative patency at one and five years was 70% and 41% respectively. Graft revision for failed or failing grafts resulted in secondary patency rates of 78% and 43% for the same periods. The limb salvage rates were 93% and 84% at one and five years. Patency rates showed no statistical significant difference for gender, age at operation or the use of a venous cuff at the distal anastomosis. Although there was a tendency towards better results for above the knee operations, this difference failed to achieve statistical significance. Only redo operations were associated with a significant worse outcome.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Vessel Prosthesis*
  • Female
  • Graft Occlusion, Vascular / epidemiology*
  • Humans
  • Inguinal Canal / surgery
  • Male
  • Middle Aged
  • Polytetrafluoroethylene*
  • Reoperation
  • Retrospective Studies
  • Risk Factors
  • Treatment Outcome

Substances

  • Polytetrafluoroethylene