Femoropopliteal reconstruction with knitted, nonvelour dacron versus expanded polytetrafluoroethylene
No ideal prosthetic conduit exists for femoropopliteal reconstruction. Expanded polytetrafluoroethylene (PTFE) has gained much greater popularity than the less expensive Dacron, despite disappointing long-term patency for each material. Few direct comparisons of results with the two materials have b...
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| Veröffentlicht in: | Journal of vascular surgery 1992-07, Vol.16 (1), p.60-65 |
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| creator | Pevec, William C. Darling, R.Clement L'Italien, Gilbert J. Abbott, William M. |
| description | No ideal prosthetic conduit exists for femoropopliteal reconstruction. Expanded polytetrafluoroethylene (PTFE) has gained much greater popularity than the less expensive Dacron, despite disappointing long-term patency for each material. Few direct comparisons of results with the two materials have been performed. The concurrent experience of a single surgeon with femoropopliteal reconstructions of PTFE (n = 85) or knitted, nonvelour Dacron (KNVD, n = 38) was reviewed. Risk factors were comparable in the two groups. Overall patency was significantly better for KNVD than for PTFE (p = 0.0096 by log rank; p = 0.039 by Cox proportional hazards; 48% vs 27% at 5 years). Since in this series the overall performance of KNVD was significantly better than PTFE, a reassessment of the prosthetic materials used in femoropopliteal reconstruction is necessary. These results justify a prospective comparison of PTFE and KNVD. |
| doi_str_mv | 10.1016/0741-5214(92)90418-8 |
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Expanded polytetrafluoroethylene (PTFE) has gained much greater popularity than the less expensive Dacron, despite disappointing long-term patency for each material. Few direct comparisons of results with the two materials have been performed. The concurrent experience of a single surgeon with femoropopliteal reconstructions of PTFE (n = 85) or knitted, nonvelour Dacron (KNVD, n = 38) was reviewed. Risk factors were comparable in the two groups. Overall patency was significantly better for KNVD than for PTFE (p = 0.0096 by log rank; p = 0.039 by Cox proportional hazards; 48% vs 27% at 5 years). Since in this series the overall performance of KNVD was significantly better than PTFE, a reassessment of the prosthetic materials used in femoropopliteal reconstruction is necessary. These results justify a prospective comparison of PTFE and KNVD.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/0741-5214(92)90418-8</identifier><identifier>PMID: 1535669</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Arterial Occlusive Diseases - surgery ; Biological and medical sciences ; Blood Vessel Prosthesis ; Female ; Femoral Artery - physiopathology ; Femoral Artery - surgery ; Humans ; Male ; Medical sciences ; Middle Aged ; Polyethylene Terephthalates ; Polytetrafluoroethylene ; Popliteal Artery - physiopathology ; Popliteal Artery - surgery ; Porosity ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Vascular Patency ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>Journal of vascular surgery, 1992-07, Vol.16 (1), p.60-65</ispartof><rights>1992</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-66f3ba5c06ea46f0c05df3c16e50b1e73a4a4463841e00ece0ea742e071ad6693</citedby><cites>FETCH-LOGICAL-c432t-66f3ba5c06ea46f0c05df3c16e50b1e73a4a4463841e00ece0ea742e071ad6693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0741521492904188$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5462421$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1535669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pevec, William C.</creatorcontrib><creatorcontrib>Darling, R.Clement</creatorcontrib><creatorcontrib>L'Italien, Gilbert J.</creatorcontrib><creatorcontrib>Abbott, William M.</creatorcontrib><title>Femoropopliteal reconstruction with knitted, nonvelour dacron versus expanded polytetrafluoroethylene</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>No ideal prosthetic conduit exists for femoropopliteal reconstruction. Expanded polytetrafluoroethylene (PTFE) has gained much greater popularity than the less expensive Dacron, despite disappointing long-term patency for each material. Few direct comparisons of results with the two materials have been performed. The concurrent experience of a single surgeon with femoropopliteal reconstructions of PTFE (n = 85) or knitted, nonvelour Dacron (KNVD, n = 38) was reviewed. Risk factors were comparable in the two groups. Overall patency was significantly better for KNVD than for PTFE (p = 0.0096 by log rank; p = 0.039 by Cox proportional hazards; 48% vs 27% at 5 years). Since in this series the overall performance of KNVD was significantly better than PTFE, a reassessment of the prosthetic materials used in femoropopliteal reconstruction is necessary. These results justify a prospective comparison of PTFE and KNVD.</description><subject>Aged</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Female</subject><subject>Femoral Artery - physiopathology</subject><subject>Femoral Artery - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polyethylene Terephthalates</subject><subject>Polytetrafluoroethylene</subject><subject>Popliteal Artery - physiopathology</subject><subject>Popliteal Artery - surgery</subject><subject>Porosity</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Vascular Patency</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3DAQhq2qFSy0b1CkHKoKpIaOY8dJLkgVAoqExIWeLa89EW69dmo7S_ft8bIreuM0h_-bXzMfIZ8pnFOg4jt0nNZtQ_np0JwNwGlf9-_IgsLQ1aKH4T1ZvCKH5Cil3wCUtn13QA5oy1ohhgXBa1yFGKYwOZtRuSqiDj7lOOtsg6-ebH6s_nibM5pvlQ9-jS7MsTJKxxKvMaY5VfhvUt6gqabgNhlzVKObSy3mx41Djx_Jh1G5hJ_285j8ur56uPxZ393f3F7-uKs1Z02uhRjZUrUaBCouRtDQmpFpKrCFJcWOKa44F6znFAFQI6DqeIPQUWXKO-yYfN31TjH8nTFlubJJo3PKY5iT7Biwgb2AfAeWL1KKOMop2pWKG0lBbu3KrTq5VSeHRr7YlX1ZO9n3z8sVmv9LO50l_7LPVdLKjVF5bdMr1nLR8IYW7GKHYXGxthhl0ha9RmOL_ixNsG_f8Qw0spkC</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Pevec, William C.</creator><creator>Darling, R.Clement</creator><creator>L'Italien, Gilbert J.</creator><creator>Abbott, William M.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Femoropopliteal reconstruction with knitted, nonvelour dacron versus expanded polytetrafluoroethylene</title><author>Pevec, William C. ; Darling, R.Clement ; L'Italien, Gilbert J. ; Abbott, William M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-66f3ba5c06ea46f0c05df3c16e50b1e73a4a4463841e00ece0ea742e071ad6693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Aged</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis</topic><topic>Female</topic><topic>Femoral Artery - physiopathology</topic><topic>Femoral Artery - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polyethylene Terephthalates</topic><topic>Polytetrafluoroethylene</topic><topic>Popliteal Artery - physiopathology</topic><topic>Popliteal Artery - surgery</topic><topic>Porosity</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Vascular Patency</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pevec, William C.</creatorcontrib><creatorcontrib>Darling, R.Clement</creatorcontrib><creatorcontrib>L'Italien, Gilbert J.</creatorcontrib><creatorcontrib>Abbott, William M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pevec, William C.</au><au>Darling, R.Clement</au><au>L'Italien, Gilbert J.</au><au>Abbott, William M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Femoropopliteal reconstruction with knitted, nonvelour dacron versus expanded polytetrafluoroethylene</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>16</volume><issue>1</issue><spage>60</spage><epage>65</epage><pages>60-65</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>No ideal prosthetic conduit exists for femoropopliteal reconstruction. Expanded polytetrafluoroethylene (PTFE) has gained much greater popularity than the less expensive Dacron, despite disappointing long-term patency for each material. Few direct comparisons of results with the two materials have been performed. The concurrent experience of a single surgeon with femoropopliteal reconstructions of PTFE (n = 85) or knitted, nonvelour Dacron (KNVD, n = 38) was reviewed. Risk factors were comparable in the two groups. Overall patency was significantly better for KNVD than for PTFE (p = 0.0096 by log rank; p = 0.039 by Cox proportional hazards; 48% vs 27% at 5 years). Since in this series the overall performance of KNVD was significantly better than PTFE, a reassessment of the prosthetic materials used in femoropopliteal reconstruction is necessary. These results justify a prospective comparison of PTFE and KNVD.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>1535669</pmid><doi>10.1016/0741-5214(92)90418-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Arterial Occlusive Diseases - surgery Biological and medical sciences Blood Vessel Prosthesis Female Femoral Artery - physiopathology Femoral Artery - surgery Humans Male Medical sciences Middle Aged Polyethylene Terephthalates Polytetrafluoroethylene Popliteal Artery - physiopathology Popliteal Artery - surgery Porosity Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Vascular Patency Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | Femoropopliteal reconstruction with knitted, nonvelour dacron versus expanded polytetrafluoroethylene |
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