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Abstract
Controversy continues regarding the best arterial substitute for femoropopliteal reconstruction
if an adequate length of autogenous saphenous vein is not available. To evaluate the
role of composite grafts as an alternate vascular conduit, we have analyzed our experience
with 39 femoropopliteal composite grafts as compared with a similar group of 79 below-knee
prosthetic reconstructions. The 5-year cumulative patency rates for composite and
prosthetic reconstructions to the distal popliteal artery were not statistically different
(38 ± 9% and 31 ± 8%, respectively). The amount of vein relative to prosthesis did
not appear to influence late patency. Both alternate reconstructive methods were significantly
inferior to the 73 ± 3% 5-year patency rate of autogenous vein bypass grafts. Based
on this experience, we have abandoned the use of composite grafts for primary femoropopliteal
reconstruction, since currently available prosthetic grafts appear to have similar
long-term function.
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References
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Article info
Publication history
Accepted:
January 21,
1982
Identification
Copyright
© 1982 Published by Elsevier Inc.
