A 5 year follow-up of Dacron femoropopliteal bypass grafts

✍ Scribed by Mr J. G. Mosley; A. Marston

• Publisher: John Wiley and Sons
• Year: 1986
• Tongue: English
• Weight: 445 KB
• Volume: 73
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800730110

✦ Synopsis

A 5 year follow-up of Dacron femoropopliteal bypass grafts Oiler a . 5* year period, 66 Dacron femoropopliteal grafts were performed for patients with an absent or unsuitable long saphenous vein. The minimum follow-up has been 6 months and cumulative patency was 50 per cent at 5 years. Twenty-fiue patients had critical ischaemia (preoperative Doppler ankle pressure < 40 mmHg) and 41 patients had severe ischaemia ( pre-operative ankle pressure > 40 mmHg). The procedure significantly improved ankle pressures in both groups and this was maintained at follow-up, In the group of 25 patients with critical ischaemia there were three operatitle deaths and in 10 the graft subsequently occluded, precipitating an amputation. In the group of forty-one patients with seuere ischaemia, there was one operatire death and in two patients the graft occluded at 18 and 24 months. I n this small series there was no sign$icant dqjerence in patency, whether the grajt was placed to the popliteal artery aboae or below the kneejoint, or whether the popliteal had less than three patent branches at its trifirrcation.