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

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

Research output: Contribution to journalArticle

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% (tibial 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 - Jan 1 1991

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Infrainguinal Polytetrafluoroethylene Grafts: Saved Limbs or Wasted Effort? A Report on Ten Years' Experience'. Together they form a unique fingerprint.

Cite this