An aortobifemoral knitted polyester graft was placed in a 58-year-old woman with aorto-iliac occlusive disease. Although the prosthesis was preclotted in the usual manner, it never became impervious to blood under normal intra-arterial pressure. Examination of the graft showed lipid infiltration not ordinarily seen. We recommend that when a knitted prosthesis fails to preclot a woven graft should be used instead.
CraverJ.M., OttingerL.W., DarlingR.C., AustenW.G., LintonR.R.Hemorrhage and thrombosis as early complications of femoropopliteal bypass grafts: causes, treatment and prognostic implications. Surgery1973; 74: 839–45.
2.
YatesS.G., Barros d'SaA., BergerK.The preclotting of porous arterial prostheses. Ann Surg1978; 188: 611–22.
3.
OttingerL.W., DarlingR.C., WirthlinL.S., LintonR.R.Failure of ultralightweight knitted Dacron grafts in arterial reconstruction. Arch Surg1976; 111: 146–9.