Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia
Objective: Although autologous veins are the first-choice conduit for femorotibial artery bypass, if there are no appropriate autologous veins, we perform femorotibial artery bypass using polytetrafluoroethylene (PTFE) with a distal vein cuff for patients with critical limb ischemia (CLI). This stud...
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| Veröffentlicht in: | Annals of Vascular Diseases 2018/09/25, Vol.11(3), pp.306-311 |
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| container_title | Annals of Vascular Diseases |
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| creator | Guntani, Atsushi Mii, Shinsuke Kuma, Sosei Tanaka, Kiyoshi Kodama, Akio Kawakubo, Eisuke |
| description | Objective: Although autologous veins are the first-choice conduit for femorotibial artery bypass, if there are no appropriate autologous veins, we perform femorotibial artery bypass using polytetrafluoroethylene (PTFE) with a distal vein cuff for patients with critical limb ischemia (CLI). This study examined the long-term outcomes of femorotibial artery bypass using PTFE with a Miller’s cuff.Materials and Methods: Using prospectively collected data for 444 distal bypasses, a retrospective analysis was conducted for 32 femorotibial PTFE bypasses with a Miller’s cuff (PTFE-Miller’s cuff) performed for patients with CLI from April 1994 to December 2016.Results: Primary and secondary patency rates of PTFE-Miller’s cuff at 3 years were 35.8% and 51.2%, respectively. Limb salvage rate of PTFE-Miller’s cuff at 3 years was 71.0%.Conclusion: Although the patency rate was low and failed to yield satisfactory results, the limb salvage rate remained relatively high. Femorotibial PTFE bypass with a Miller’s cuff was a useful technique of limb salvage for patients with CLI in whom an appropriate autologous vein could not be used. |
| doi_str_mv | 10.3400/avd.oa.18-00031 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6200617</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2130805495</sourcerecordid><originalsourceid>FETCH-LOGICAL-c451t-bc35b62f2a6436ff3a995fd17f0a1847e5d9607753a0032665dac540f4bc2d053</originalsourceid><addsrcrecordid>eNpVUcFu1DAUjBCIlsKZG_KRS7Z27DjOBQm2La20EggVxM1ynOeNKydebKdo_x5vt43KxbbeG8-8N1MU7wleUYbxubrvV16tiCgxxpS8KE6JEKTkrBIvlzf5fVK8ifEOY855K14XJxQzXBGBT4u48dO2vIUwoh8QZ5ci8gZdweiDT7azyqHv3u0TpKCMm3MV0rB3MAH6st-pGNFfmwak0IWNKYN_gZ3QejYGGR_QOthkdS5v7Nihm6gHGK16W7wyykV493ifFT-vLm_X1-Xm29eb9edNqVlNUtlpWne8MpXijHJjqGrb2vSkMVgRwRqo-5bjpqmpyrtXnNe90jXDhnW66nFNz4pPR97d3I3Qa5jyEk7ugh1V2EuvrPy_M9lBbv295FW2ijSZ4OMjQfB_ZohJjjZqcE5N4OcoK0KxwDVrD1rnR6gOPsYAZpEhWB6ikjmqLCmJkA9R5R8fnk-34J-yyYDLI-AuO7uFBaBC9tTBAyEhkh6OZ8RLXw8qSJjoP_YwqzU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2130805495</pqid></control><display><type>article</type><title>Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese</source><source>PubMed Central</source><creator>Guntani, Atsushi ; Mii, Shinsuke ; Kuma, Sosei ; Tanaka, Kiyoshi ; Kodama, Akio ; Kawakubo, Eisuke</creator><creatorcontrib>Guntani, Atsushi ; Mii, Shinsuke ; Kuma, Sosei ; Tanaka, Kiyoshi ; Kodama, Akio ; Kawakubo, Eisuke</creatorcontrib><description>Objective: Although autologous veins are the first-choice conduit for femorotibial artery bypass, if there are no appropriate autologous veins, we perform femorotibial artery bypass using polytetrafluoroethylene (PTFE) with a distal vein cuff for patients with critical limb ischemia (CLI). This study examined the long-term outcomes of femorotibial artery bypass using PTFE with a Miller’s cuff.Materials and Methods: Using prospectively collected data for 444 distal bypasses, a retrospective analysis was conducted for 32 femorotibial PTFE bypasses with a Miller’s cuff (PTFE-Miller’s cuff) performed for patients with CLI from April 1994 to December 2016.Results: Primary and secondary patency rates of PTFE-Miller’s cuff at 3 years were 35.8% and 51.2%, respectively. Limb salvage rate of PTFE-Miller’s cuff at 3 years was 71.0%.Conclusion: Although the patency rate was low and failed to yield satisfactory results, the limb salvage rate remained relatively high. Femorotibial PTFE bypass with a Miller’s cuff was a useful technique of limb salvage for patients with CLI in whom an appropriate autologous vein could not be used.</description><identifier>ISSN: 1881-641X</identifier><identifier>EISSN: 1881-6428</identifier><identifier>DOI: 10.3400/avd.oa.18-00031</identifier><identifier>PMID: 30402180</identifier><language>eng</language><publisher>Japan: The Editorial Committee of Annals of Vascular Diseases</publisher><subject>critical limb ischemia ; distal vein cuff ; Miller’s cuff ; Original ; tibial bypass</subject><ispartof>Annals of Vascular Diseases, 2018/09/25, Vol.11(3), pp.306-311</ispartof><rights>2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.</rights><rights>Copyright © 2018 Annals of Vascular Diseases 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-bc35b62f2a6436ff3a995fd17f0a1847e5d9607753a0032665dac540f4bc2d053</citedby><cites>FETCH-LOGICAL-c451t-bc35b62f2a6436ff3a995fd17f0a1847e5d9607753a0032665dac540f4bc2d053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200617/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200617/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1876,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30402180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guntani, Atsushi</creatorcontrib><creatorcontrib>Mii, Shinsuke</creatorcontrib><creatorcontrib>Kuma, Sosei</creatorcontrib><creatorcontrib>Tanaka, Kiyoshi</creatorcontrib><creatorcontrib>Kodama, Akio</creatorcontrib><creatorcontrib>Kawakubo, Eisuke</creatorcontrib><title>Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia</title><title>Annals of Vascular Diseases</title><addtitle>Annals of Vascular Diseases</addtitle><description>Objective: Although autologous veins are the first-choice conduit for femorotibial artery bypass, if there are no appropriate autologous veins, we perform femorotibial artery bypass using polytetrafluoroethylene (PTFE) with a distal vein cuff for patients with critical limb ischemia (CLI). This study examined the long-term outcomes of femorotibial artery bypass using PTFE with a Miller’s cuff.Materials and Methods: Using prospectively collected data for 444 distal bypasses, a retrospective analysis was conducted for 32 femorotibial PTFE bypasses with a Miller’s cuff (PTFE-Miller’s cuff) performed for patients with CLI from April 1994 to December 2016.Results: Primary and secondary patency rates of PTFE-Miller’s cuff at 3 years were 35.8% and 51.2%, respectively. Limb salvage rate of PTFE-Miller’s cuff at 3 years was 71.0%.Conclusion: Although the patency rate was low and failed to yield satisfactory results, the limb salvage rate remained relatively high. Femorotibial PTFE bypass with a Miller’s cuff was a useful technique of limb salvage for patients with CLI in whom an appropriate autologous vein could not be used.</description><subject>critical limb ischemia</subject><subject>distal vein cuff</subject><subject>Miller’s cuff</subject><subject>Original</subject><subject>tibial bypass</subject><issn>1881-641X</issn><issn>1881-6428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpVUcFu1DAUjBCIlsKZG_KRS7Z27DjOBQm2La20EggVxM1ynOeNKydebKdo_x5vt43KxbbeG8-8N1MU7wleUYbxubrvV16tiCgxxpS8KE6JEKTkrBIvlzf5fVK8ifEOY855K14XJxQzXBGBT4u48dO2vIUwoh8QZ5ci8gZdweiDT7azyqHv3u0TpKCMm3MV0rB3MAH6st-pGNFfmwak0IWNKYN_gZ3QejYGGR_QOthkdS5v7Nihm6gHGK16W7wyykV493ifFT-vLm_X1-Xm29eb9edNqVlNUtlpWne8MpXijHJjqGrb2vSkMVgRwRqo-5bjpqmpyrtXnNe90jXDhnW66nFNz4pPR97d3I3Qa5jyEk7ugh1V2EuvrPy_M9lBbv295FW2ijSZ4OMjQfB_ZohJjjZqcE5N4OcoK0KxwDVrD1rnR6gOPsYAZpEhWB6ikjmqLCmJkA9R5R8fnk-34J-yyYDLI-AuO7uFBaBC9tTBAyEhkh6OZ8RLXw8qSJjoP_YwqzU</recordid><startdate>20180925</startdate><enddate>20180925</enddate><creator>Guntani, Atsushi</creator><creator>Mii, Shinsuke</creator><creator>Kuma, Sosei</creator><creator>Tanaka, Kiyoshi</creator><creator>Kodama, Akio</creator><creator>Kawakubo, Eisuke</creator><general>The Editorial Committee of Annals of Vascular Diseases</general><general>Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180925</creationdate><title>Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia</title><author>Guntani, Atsushi ; Mii, Shinsuke ; Kuma, Sosei ; Tanaka, Kiyoshi ; Kodama, Akio ; Kawakubo, Eisuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-bc35b62f2a6436ff3a995fd17f0a1847e5d9607753a0032665dac540f4bc2d053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>critical limb ischemia</topic><topic>distal vein cuff</topic><topic>Miller’s cuff</topic><topic>Original</topic><topic>tibial bypass</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guntani, Atsushi</creatorcontrib><creatorcontrib>Mii, Shinsuke</creatorcontrib><creatorcontrib>Kuma, Sosei</creatorcontrib><creatorcontrib>Tanaka, Kiyoshi</creatorcontrib><creatorcontrib>Kodama, Akio</creatorcontrib><creatorcontrib>Kawakubo, Eisuke</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of Vascular Diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guntani, Atsushi</au><au>Mii, Shinsuke</au><au>Kuma, Sosei</au><au>Tanaka, Kiyoshi</au><au>Kodama, Akio</au><au>Kawakubo, Eisuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia</atitle><jtitle>Annals of Vascular Diseases</jtitle><addtitle>Annals of Vascular Diseases</addtitle><date>2018-09-25</date><risdate>2018</risdate><volume>11</volume><issue>3</issue><spage>306</spage><epage>311</epage><pages>306-311</pages><issn>1881-641X</issn><eissn>1881-6428</eissn><abstract>Objective: Although autologous veins are the first-choice conduit for femorotibial artery bypass, if there are no appropriate autologous veins, we perform femorotibial artery bypass using polytetrafluoroethylene (PTFE) with a distal vein cuff for patients with critical limb ischemia (CLI). This study examined the long-term outcomes of femorotibial artery bypass using PTFE with a Miller’s cuff.Materials and Methods: Using prospectively collected data for 444 distal bypasses, a retrospective analysis was conducted for 32 femorotibial PTFE bypasses with a Miller’s cuff (PTFE-Miller’s cuff) performed for patients with CLI from April 1994 to December 2016.Results: Primary and secondary patency rates of PTFE-Miller’s cuff at 3 years were 35.8% and 51.2%, respectively. Limb salvage rate of PTFE-Miller’s cuff at 3 years was 71.0%.Conclusion: Although the patency rate was low and failed to yield satisfactory results, the limb salvage rate remained relatively high. Femorotibial PTFE bypass with a Miller’s cuff was a useful technique of limb salvage for patients with CLI in whom an appropriate autologous vein could not be used.</abstract><cop>Japan</cop><pub>The Editorial Committee of Annals of Vascular Diseases</pub><pmid>30402180</pmid><doi>10.3400/avd.oa.18-00031</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
| subjects | critical limb ischemia distal vein cuff Miller’s cuff Original tibial bypass |
| title | Long-Term Results of Femorotibial Polytetrafluoroethylene Bypass with a Distal Vein Cuff for Critical Limb Ischemia |
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