Advertisement
Original communication| Volume 81, ISSUE 3, P314-318, March 1977

Autogenous veins and velour Dacron in femoropopliteal arterial bypass

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Sixty-five patients treated by femoropopliteal bypass in 1974 were surveyed; the mean follow-up time was 10.4 months. The one year cumulative patency rate for velour Dacron was 50 percent; this was less successful than were the results from a comparable group in which vein grafts were used (79 percent). These poor results were due principally to the high failure rate of velour Dacron in patients suffering from clinically severe ischemia. In these only one in four grafts remained patent. If a less than perfect arteriographic runoff was obtained, only one in three still functioned. These results occurred despite high intraoperative graft flows. It appears that velour Dacron may be acceptable in patients treated for claudication if no adequate vein is available. This prosthesis gives an unacceptably high failure rate in patients with severe ischemia.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Corovic D.
        • Kaese H.J.
        • Kirchhoff P.G.
        Dacronvelour-prosthesis, an alternative for venous bypass in the femoro-popliteal region.
        Fortschritte der medizin (Munchen). 1974; 92: 787
        • Corovic D.
        • Kirchoff P.G.
        • Sinapius D.
        Dacron-velourprosthesis: Problems of implantation in the femoropopliteal area. Angiographic and histologic results.
        Thoraxchirgurgie. 1974; 22: 512
        • Crawford E.S.
        • DeBakey M.E.
        • Morris G.C.
        • et al.
        Evaluation of late failures after reconstructive operations for occlusive lesions of the aortic and iliac, femoral, and popliteal arteries.
        Surgery. 1960; 47: 79
        • Crawford E.S.
        • DeBakey M.E.
        • Cooley D.A.
        • et al.
        Use of crimped knitted Dacron grafts in patients with occlusive disease of the aorta and of the iliac, femoral and popliteal arteries.
        in: Wesolowski S.A. Fundamentals of vascular grafting. McGraw-Hill Book Company, Inc, New York1963: 356
        • Dale W.A.
        Autogenous venous grafts.
        in: Wesolowski S.A. Fundamentals of vascular grafting. McGraw-Hill Book Company, Inc, New York1963: 325
        • Darling R.C.
        • Linton R.R.
        Durability of femoropopliteal reconstruction.
        Am. J. Surg. 1972; 123: 472
      1. DeBakey, M. E., Noon, G. P., Jordan, G. L., et al.: Fifteen years experience with Dacron vascular prostheses (brochure), Houston, Texas, Baylor College of Medicine.

        • DeWeese J.A.
        • Rob C.G.
        Autogenous venous bypass grafts five years later.
        Ann. Surg. 1971; 174: 346
        • Edwards W.S.
        Late occlusion of femoral and popliteal fabric arterial grafts.
        Surg. Gynecol. Obstet. 1960; 110: 714
        • Harmon J.W.
        • Hoar C.S.
        Cloth femoral-popliteal bypass grafts in 29 diabetic patients.
        Arch. Surg. 1973; 106: 282
        • Linton R.R.
        • Wirthlin L.S.
        Femoropopliteal composite dacron and autogenous vein bypass grafts.
        Arch. Surg. 1973; 107: 148
        • Morris G.C.
        • DeBakey M.E.
        • Cooley D.A.
        • et al.
        Arterial bypass below the knee.
        Surg. Gynecol. Obstet. 1959; 108: 321
        • Sauvage L.R.
        • Berger K.
        • Wood S.J.
        • et al.
        A very thin, porous, knitted arterial prosthesis: Experimental data and early clinical assessment.
        Surgery. 1969; 65: 78
        • Stoney R.J.
        • James D.R.
        • Wylie E.S.
        Surgery for femoropopliteal atherosclerosis.
        Arch. Surg. 1971; 103: 548
        • Szilagyi D.E.
        • Smith R.F.
        • Elliott J.P.
        • et al.
        Long-term behavior of a Dacron arterial substitute.
        Ann. Surg. 1965; 162: 453