Vasc Spec Int.  2017 Jun;33(2):65-71. 10.5758/vsi.2017.33.2.65.

Results of Infrainguinal Bypass with a Composite Graft Combining Polytetrafluoroethylene and Vein Graft in Absence of Appropriate Saphenous Vein Graft

• Jin MJ
• Park UJ
• Kim HT
• Roh YN

• KMID: 2386381
• DOI: http://doi.org/10.5758/vsi.2017.33.2.65

Abstract

PURPOSE
Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft.
MATERIALS AND METHODS
We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from March 2012 to November 2016.
RESULTS
Critical limb ischemia was common (63.6%) indication of bypass surgery and most (90.9%) of the patients had history of failed previous treatment including endovascular treatment (36.4%) and bypass surgery (72.7%). At the 2 years after graft implantations, primary patency and amputation-free survival of below-knee bypasses using composite graft were 73% and 76%, respectively.
CONCLUSION
Infrainguinal arterial bypasses with composite graft had an acceptable patency. In patients without other alternative conduits for revascularization, bypass with a composite graft can be an option.

Keyword

Infrainguinal; Bypass; Composite graft

MeSH Terms

Extremities
Humans
Ischemia
Limb Salvage
Polytetrafluoroethylene*
Retrospective Studies
Saphenous Vein*
Transplants*
Veins*
Polytetrafluoroethylene