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Abstract
A group of 14 patients with 16 composite bypassing grafts composed of synthetic crimped
Teflon and autogenous vein have been followed postoperatively to either thrombosis
of the graft or for as long as 14 months of patency. The expected usefulness of this
method is not borne out by this analysis in which 13 of the 16 grafts had relatively
early occlusion, although patency was established throughout the immediate postoperative
period. This high incidence of failure leads to pessimism regarding usefulness of
the composite graft for future patients. Experience outside this series indicates
that long autogenous vein grafts with or without proximal thromboendarterectomy are
superior to composite grafts.
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References
- Autogenous vein grafts and related aspects of peripheral arterial disease.Charles C Thomas, Publisher, Springfield, Ill1959
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- Late occlusion of femoral and popliteal fabric arterial grafts.Surg. Gynec. & Obst. 1960; 110: 714
- Late behavior of vascular substitutes.Ann. Surg. 1960; 151: 867
- Autogenous saphenous vein bypass grafts in femoropopliteal obliterative arterial disease.Surgery. 1962; 51: 62
Pridgen, W. R., and Dale, W. A.: Composite (crimped Teflon and autogenous vein) grafts in small canine arteries, Am. Surgeon. In press.
- Biologic fate of human arterial homografts.A. M. A. Arch Surg. 1957; 75: 506
Article info
Publication history
Received:
October 3,
1961
Identification
Copyright
© 1962 Published by Elsevier Inc.
