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Article: Is the preferential use of ePTFE grafts in femorofemoral bypass justified?

TitleIs the preferential use of ePTFE grafts in femorofemoral bypass justified?
Authors
Issue Date2001
PublisherElsevier Inc.
Citation
Annals Of Vascular Surgery, 2001, v. 15 n. 3, p. 383-387 How to Cite?
AbstractThe choice of prosthetic graft material for cross-femoral bypass has been evolving in the past two decades. Expanded polytetrafluoroethylene (ePTFE) has become our preferred graft material since 1995. However, few studies have looked into the optimal graft material in this procedure. Justification for the preferential use of ePTFE graft in lower limb revascularization remains unknown. The aim of the present study was to compare the long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass. The records of 61 consecutive patients who underwent femorofemoral bypass at the University of Hong Kong Medical Center from 1981 to 1998 were retrospectively reviewed. Dacron grafts were used in 27 patients and 34 patients had ePTFE grafts. The demographic features, patency, and limb salvage rates of the two groups of patients were compared. The 3-year primary patency rates of Dacron and ePTFE grafts were 85% (SE = 9.5%) and 66% (SE = 14.5%), respectively. The difference was not statistically significant. The limb salvage rates of Dacron and ePTFE grafts were 91% and 83% at 3 years, respectively (p = 0.27). The long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass were equivalent. The preferential use of ePTFE graft in femorofemoral bypass is not evidence based. Selection of an appropriate prosthetic graft for femorofemoral bypass should be based on the cost and its handling characteristics.
Persistent Identifierhttp://hdl.handle.net/10722/84299
ISSN
2015 Impact Factor: 1.045
2015 SCImago Journal Rankings: 0.586
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorCheng, SWen_HK
dc.date.accessioned2010-09-06T08:51:18Z-
dc.date.available2010-09-06T08:51:18Z-
dc.date.issued2001en_HK
dc.identifier.citationAnnals Of Vascular Surgery, 2001, v. 15 n. 3, p. 383-387en_HK
dc.identifier.issn0890-5096en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84299-
dc.description.abstractThe choice of prosthetic graft material for cross-femoral bypass has been evolving in the past two decades. Expanded polytetrafluoroethylene (ePTFE) has become our preferred graft material since 1995. However, few studies have looked into the optimal graft material in this procedure. Justification for the preferential use of ePTFE graft in lower limb revascularization remains unknown. The aim of the present study was to compare the long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass. The records of 61 consecutive patients who underwent femorofemoral bypass at the University of Hong Kong Medical Center from 1981 to 1998 were retrospectively reviewed. Dacron grafts were used in 27 patients and 34 patients had ePTFE grafts. The demographic features, patency, and limb salvage rates of the two groups of patients were compared. The 3-year primary patency rates of Dacron and ePTFE grafts were 85% (SE = 9.5%) and 66% (SE = 14.5%), respectively. The difference was not statistically significant. The limb salvage rates of Dacron and ePTFE grafts were 91% and 83% at 3 years, respectively (p = 0.27). The long-term outcomes of Dacron and ePTFE grafts in femorofemoral bypass were equivalent. The preferential use of ePTFE graft in femorofemoral bypass is not evidence based. Selection of an appropriate prosthetic graft for femorofemoral bypass should be based on the cost and its handling characteristics.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc.en_HK
dc.relation.ispartofAnnals of Vascular Surgeryen_HK
dc.rightsAnnals of Vascular Surgery. Copyright © Elsevier Inc.en_HK
dc.subject.meshAgeden_HK
dc.subject.meshAnastomosis, Surgicalen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFemoral Artery - surgeryen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPolytetrafluoroethyleneen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshTime Factorsen_HK
dc.subject.meshVascular Surgical Proceduresen_HK
dc.titleIs the preferential use of ePTFE grafts in femorofemoral bypass justified?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0890-5096&volume=15&issue=3&spage=383&epage=387&date=2001&atitle=Is+the+preferential+use+of+ePTFE+grafts+in+femorofemoral+bypass+justified?en_HK
dc.identifier.emailCheng, SW: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SW=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s100160010085en_HK
dc.identifier.pmid11414091-
dc.identifier.scopuseid_2-s2.0-0034991257en_HK
dc.identifier.hkuros58631en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034991257&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue3en_HK
dc.identifier.spage383en_HK
dc.identifier.epage387en_HK
dc.identifier.isiWOS:000169034600016-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridCheng, SW=7404684779en_HK

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