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[Bypass spanning the knee joint with synthetic prosthesis].
1Gefässchirurg. Klinik, St. Johannes-Hospitals, Akadem. Lehrkrankenhaus, Duisburg.
Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
Summary
Ring-reinforced Goretex-PTFE synthetic grafts show moderate 3-year patency for below-knee bypass, with outcomes heavily influenced by patient run-off conditions. Overall limb salvage rates remain promising.
Area of Science:
- Vascular Surgery
- Biomaterials Science
Context:
- Synthetic grafts are a secondary option for below-knee bypass procedures.
- Goretex-PTFE grafts are approved and have undergone multicenter evaluation.
Purpose:
- To assess the efficacy and long-term patency of ring-reinforced, thin-walled Goretex-PTFE grafts in below-knee bypass surgery.
Summary:
- A multicenter study evaluated 195 Goretex-PTFE grafts for below-knee femoral-popliteal and crural bypass.
- Achieved 3-year primary patency rates of 64% for femoral-popliteal and 39% for crural bypass.
- Long-term patency significantly correlated with run-off conditions (81% with good run-off, 43% with poor).
Impact:
- The study reports an overall limb salvage rate of 80% after 3 years.
- Highlights the critical role of vascular run-off in determining synthetic graft success.
- Provides valuable data for material selection in complex peripheral arterial disease interventions.