Infrainguinal Polytetrafluoroethylene Grafts: Saved Limbs or Wasted Effort? A Report on Ten Years' Experience

M. G. Davies, T. M. Feeley, M. K. O'Malley, M. P. Colgan, D. J. Moore, G. D. Shanik

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Two-hundred and twenty-four infrainguinal polytetrafluoroethylene reconstructions were performed for critical ischemia over a 10 year period: 48 to the above-knee popliteal artery, 113 to the below-knee popliteal artery, and 63 to the tibial vessels. The cumulative patency rates were 84 ± 6% and 63 ± 9% for above-knee popliteal, 53 ± 5% and 35 ± 7% for below-knee popliteal, 45 ± 6% and 30 ± 9% for tibial vessels at one and five years respectively. Limb salvage rates were 81 ± 6% and 73 ± 9% (above-knee popliteal), 69 ± 5% and 57 ± 9% (below-knee popliteal), 64 ± 7% and 32 ± 10% (tiblal vessels) at one and five years respectively. Graft occlusion did not result in limb loss in 32 cases. Preoperatively, 54% of the patients had limited mobility while 43% were regarded as severely restricted. At follow-up, 57% of the patients were considered to be independent, 26% had limited mobility, and 17% were still severely restricted. Polytetrafluoroethylene provides good short-term limb salvage and improved mobility in patients with critical ischemia and poor life expectancy. Its use is well worth the effort.

Original languageEnglish (US)
Pages (from-to)519-524
Number of pages6
JournalAnnals of Vascular Surgery
Volume5
Issue number6
DOIs
StatePublished - 1991
Externally publishedYes

Keywords

  • PTFE graft
  • claudlcation
  • graft occlusion
  • infrainguinal grafts
  • limb salvage
  • peripheral vascular ischemia

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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