Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage

Richard A. Yeager, Robert W. Hobson, Thomas Gerald Lynch, Zafar Jamil, Bing C. Lee, Krishna Jain, Roger Keys

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

This clinical review of 70 polytetrafluoroethylene femoropopliteal and femoral-distal (tibial or peroneal) bypasses for limb salvage analyzes factors that influence graft patency. Patients with "good" angiographic run-off (n = 26) had a significantly better (P < 0.01) cumulative patency rate when compared to patients with "poor" (n = 43) angiographic run-off. Other factors which had a significant influence on graft patency over the 2-year follow-up included site of distal anastomosis (femoropopliteal versus femoral-distal), and previously failed femoropopliteal bypass. Patients with a preoperative ankle/brachial Doppler pressure index of less than 0.2 had a 67% occlusion rate during the first postoperative month. Thrombectomy and distal revisions (patch or jump graft) following graft occlusion did not significantly prolong graft patency.

Original languageEnglish (US)
Pages (from-to)499-506
Number of pages8
JournalJournal of Surgical Research
Volume32
Issue number5
DOIs
StatePublished - Jan 1 1982

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Limb Salvage
Polytetrafluoroethylene
Statistical Factor Analysis
Prostheses and Implants
Transplants
Thigh
Thrombectomy
Ankle
Arm
Pressure

ASJC Scopus subject areas

  • Surgery

Cite this

Yeager, R. A., Hobson, R. W., Lynch, T. G., Jamil, Z., Lee, B. C., Jain, K., & Keys, R. (1982). Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage. Journal of Surgical Research, 32(5), 499-506. https://doi.org/10.1016/0022-4804(82)90132-9

Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage. / Yeager, Richard A.; Hobson, Robert W.; Lynch, Thomas Gerald; Jamil, Zafar; Lee, Bing C.; Jain, Krishna; Keys, Roger.

In: Journal of Surgical Research, Vol. 32, No. 5, 01.01.1982, p. 499-506.

Research output: Contribution to journalArticle

Yeager, RA, Hobson, RW, Lynch, TG, Jamil, Z, Lee, BC, Jain, K & Keys, R 1982, 'Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage', Journal of Surgical Research, vol. 32, no. 5, pp. 499-506. https://doi.org/10.1016/0022-4804(82)90132-9
Yeager, Richard A. ; Hobson, Robert W. ; Lynch, Thomas Gerald ; Jamil, Zafar ; Lee, Bing C. ; Jain, Krishna ; Keys, Roger. / Analysis of factors influencing patency of polytetrafluoroethylene prostheses for limb salvage. In: Journal of Surgical Research. 1982 ; Vol. 32, No. 5. pp. 499-506.
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