Improved patency of infrainguinal polytetrafluoroethylene bypass grafts using a distal Taylor vein patch
Objective: The purpose of this study was to evaluate graft patency and limb salvage rates for infrainguinal polytetrafluoroethylene (PTFE) bypass grafts using distal anastomotic Taylor vein patch in patients lacking suitable vein conduit. Methods: We reviewed 44 patients who underwent infrainguinal...
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| Veröffentlicht in: | The American journal of surgery 2001-12, Vol.182 (6), p.578-583 |
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| creator | Yeung, Kay K Mills, Joseph L Hughes, John D Berman, Scott S Gentile, Andrew T Westerband, Alex |
| description | Objective: The purpose of this study was to evaluate graft patency and limb salvage rates for infrainguinal polytetrafluoroethylene (PTFE) bypass grafts using distal anastomotic Taylor vein patch in patients lacking suitable vein conduit.
Methods: We reviewed 44 patients who underwent infrainguinal bypass between January 1996 and August 2000 using 6-mm PTFE and a distal Taylor vein patch. Postoperative oral anticoagulation was administered to 80% of patients. Graft patency was confirmed during follow-up with serial graft duplex scanning.
Results: Operative indications were rest pain, nonhealing ulcer, or gangrene in 76% of patients, 43% of whom had undergone previous ipsilateral leg bypass. Distal anastomotic sites were the below-knee popliteal (29%) and tibial-peroneal arteries (67%). At 1 month, 1 year, and 2 years, respectively, the primary patencies (SE |
| doi_str_mv | 10.1016/S0002-9610(01)00791-7 |
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Methods: We reviewed 44 patients who underwent infrainguinal bypass between January 1996 and August 2000 using 6-mm PTFE and a distal Taylor vein patch. Postoperative oral anticoagulation was administered to 80% of patients. Graft patency was confirmed during follow-up with serial graft duplex scanning.
Results: Operative indications were rest pain, nonhealing ulcer, or gangrene in 76% of patients, 43% of whom had undergone previous ipsilateral leg bypass. Distal anastomotic sites were the below-knee popliteal (29%) and tibial-peroneal arteries (67%). At 1 month, 1 year, and 2 years, respectively, the primary patencies (SE <10%) were 86%, 71%, and 71%; limb salvage rates were 95%, 75%, and 66%; and mortality rates were 5%, 20%, and 20%.
Conclusions: These early results with PTFE and distal Taylor vein patch are promising, and markedly superior to previous reports of PTFE without anastomotic modification. Further long-term follow-up will be necessary to determine the 3- to 5-year durability of such reconstructions.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(01)00791-7</identifier><identifier>PMID: 11839320</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Anticoagulants ; Anticoagulants - administration & dosage ; Arteries ; Blood Vessel Prosthesis ; Cardiovascular disease ; Durability ; Female ; Gangrene ; Grafting ; Humans ; Hyperplasia ; Infrainguinal bypass ; Inguinal Canal ; Leg - blood supply ; Male ; Middle Aged ; Patients ; Polytetrafluoroethylene ; Polytetrafluoroethylene bypass ; Prostheses ; Retrospective Studies ; Surgeons ; Surveillance ; Taylor patch ; Vascular Patency ; Vein patch ; Veins ; Veins - surgery</subject><ispartof>The American journal of surgery, 2001-12, Vol.182 (6), p.578-583</ispartof><rights>2002 Elsevier Science Inc.</rights><rights>2002. Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-37c95364cb7174223ebbf0fb1a820e15fa9c5ce858f3d7650d5af2b9167a524e3</citedby><cites>FETCH-LOGICAL-c455t-37c95364cb7174223ebbf0fb1a820e15fa9c5ce858f3d7650d5af2b9167a524e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2847446657?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11839320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yeung, Kay K</creatorcontrib><creatorcontrib>Mills, Joseph L</creatorcontrib><creatorcontrib>Hughes, John D</creatorcontrib><creatorcontrib>Berman, Scott S</creatorcontrib><creatorcontrib>Gentile, Andrew T</creatorcontrib><creatorcontrib>Westerband, Alex</creatorcontrib><title>Improved patency of infrainguinal polytetrafluoroethylene bypass grafts using a distal Taylor vein patch</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Objective: The purpose of this study was to evaluate graft patency and limb salvage rates for infrainguinal polytetrafluoroethylene (PTFE) bypass grafts using distal anastomotic Taylor vein patch in patients lacking suitable vein conduit.
Methods: We reviewed 44 patients who underwent infrainguinal bypass between January 1996 and August 2000 using 6-mm PTFE and a distal Taylor vein patch. Postoperative oral anticoagulation was administered to 80% of patients. Graft patency was confirmed during follow-up with serial graft duplex scanning.
Results: Operative indications were rest pain, nonhealing ulcer, or gangrene in 76% of patients, 43% of whom had undergone previous ipsilateral leg bypass. Distal anastomotic sites were the below-knee popliteal (29%) and tibial-peroneal arteries (67%). At 1 month, 1 year, and 2 years, respectively, the primary patencies (SE <10%) were 86%, 71%, and 71%; limb salvage rates were 95%, 75%, and 66%; and mortality rates were 5%, 20%, and 20%.
Conclusions: These early results with PTFE and distal Taylor vein patch are promising, and markedly superior to previous reports of PTFE without anastomotic modification. Further long-term follow-up will be necessary to determine the 3- to 5-year durability of such reconstructions.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anticoagulants</subject><subject>Anticoagulants - administration & dosage</subject><subject>Arteries</subject><subject>Blood Vessel Prosthesis</subject><subject>Cardiovascular disease</subject><subject>Durability</subject><subject>Female</subject><subject>Gangrene</subject><subject>Grafting</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Infrainguinal bypass</subject><subject>Inguinal Canal</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Polytetrafluoroethylene</subject><subject>Polytetrafluoroethylene bypass</subject><subject>Prostheses</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surveillance</subject><subject>Taylor patch</subject><subject>Vascular Patency</subject><subject>Vein patch</subject><subject>Veins</subject><subject>Veins - surgery</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkd1rFDEUxYModq3-CUpAKPowNZ-TzJNI8aNQ6IP1OWQyN92U2cmYZBbmv2-2uyj44lO45HfO5Z6D0FtKLimh7aefhBDWdC0lHwj9SIjqaKOeoQ3Vqmuo1vw52vxBztCrnB_qSKngL9EZpZp3nJEN2l7v5hT3MODZFpjciqPHYfLJhul-CZMd8RzHtUBJ1o9LTBHKdh1hAtyvs80Z39ePkvGSqwBbPIRcqujOrmNMeA9hOji77Wv0wtsxw5vTe45-fft6d_Wjubn9fn315aZxQsrScOU6yVvhekWVYIxD33vie2o1I0Clt52TDrTUng-qlWSQ1rO-o62ykgng5-ji6FvP-r1ALmYXsoNxtBPEJRvFBFOS6Aq-_wd8iEuqB2fDtFBCtK1UlZJHyqWYcwJv5hR2Nq2GEnMowjwVYQ4pG0LNUxHmoHt3cl_6HQx_VafkK_D5CEANYx8gmexCLQCGkMAVM8TwnxWPin-ZJQ</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Yeung, Kay K</creator><creator>Mills, Joseph L</creator><creator>Hughes, John D</creator><creator>Berman, Scott S</creator><creator>Gentile, Andrew T</creator><creator>Westerband, Alex</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Improved patency of infrainguinal polytetrafluoroethylene bypass grafts using a distal Taylor vein patch</title><author>Yeung, Kay K ; Mills, Joseph L ; Hughes, John D ; Berman, Scott S ; Gentile, Andrew T ; Westerband, Alex</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-37c95364cb7174223ebbf0fb1a820e15fa9c5ce858f3d7650d5af2b9167a524e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anticoagulants</topic><topic>Anticoagulants - administration & dosage</topic><topic>Arteries</topic><topic>Blood Vessel Prosthesis</topic><topic>Cardiovascular disease</topic><topic>Durability</topic><topic>Female</topic><topic>Gangrene</topic><topic>Grafting</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Infrainguinal bypass</topic><topic>Inguinal Canal</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Polytetrafluoroethylene</topic><topic>Polytetrafluoroethylene bypass</topic><topic>Prostheses</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surveillance</topic><topic>Taylor patch</topic><topic>Vascular Patency</topic><topic>Vein patch</topic><topic>Veins</topic><topic>Veins - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yeung, Kay K</creatorcontrib><creatorcontrib>Mills, Joseph L</creatorcontrib><creatorcontrib>Hughes, John D</creatorcontrib><creatorcontrib>Berman, Scott S</creatorcontrib><creatorcontrib>Gentile, Andrew T</creatorcontrib><creatorcontrib>Westerband, Alex</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yeung, Kay K</au><au>Mills, Joseph L</au><au>Hughes, John D</au><au>Berman, Scott S</au><au>Gentile, Andrew T</au><au>Westerband, Alex</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improved patency of infrainguinal polytetrafluoroethylene bypass grafts using a distal Taylor vein patch</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>182</volume><issue>6</issue><spage>578</spage><epage>583</epage><pages>578-583</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Objective: The purpose of this study was to evaluate graft patency and limb salvage rates for infrainguinal polytetrafluoroethylene (PTFE) bypass grafts using distal anastomotic Taylor vein patch in patients lacking suitable vein conduit.
Methods: We reviewed 44 patients who underwent infrainguinal bypass between January 1996 and August 2000 using 6-mm PTFE and a distal Taylor vein patch. Postoperative oral anticoagulation was administered to 80% of patients. Graft patency was confirmed during follow-up with serial graft duplex scanning.
Results: Operative indications were rest pain, nonhealing ulcer, or gangrene in 76% of patients, 43% of whom had undergone previous ipsilateral leg bypass. Distal anastomotic sites were the below-knee popliteal (29%) and tibial-peroneal arteries (67%). At 1 month, 1 year, and 2 years, respectively, the primary patencies (SE <10%) were 86%, 71%, and 71%; limb salvage rates were 95%, 75%, and 66%; and mortality rates were 5%, 20%, and 20%.
Conclusions: These early results with PTFE and distal Taylor vein patch are promising, and markedly superior to previous reports of PTFE without anastomotic modification. Further long-term follow-up will be necessary to determine the 3- to 5-year durability of such reconstructions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11839320</pmid><doi>10.1016/S0002-9610(01)00791-7</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Anticoagulants Anticoagulants - administration & dosage Arteries Blood Vessel Prosthesis Cardiovascular disease Durability Female Gangrene Grafting Humans Hyperplasia Infrainguinal bypass Inguinal Canal Leg - blood supply Male Middle Aged Patients Polytetrafluoroethylene Polytetrafluoroethylene bypass Prostheses Retrospective Studies Surgeons Surveillance Taylor patch Vascular Patency Vein patch Veins Veins - surgery |
| title | Improved patency of infrainguinal polytetrafluoroethylene bypass grafts using a distal Taylor vein patch |
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