Since January 1977, polytetrafluoroethylene (PTFE)-Goretex has been used 82 times as aortoiliac substitute: 49 ilio-femoral, 17 ilio-profundal, 10 axillo-femoral, and 6 femoro-femoral cross-over bypasses were performed. In this group of patients 20% were diabetics, 85% were in a preoperative Stage III or IV according to Fontaine, with an average age of 66 years. Postoperative anticoagulation therapy was not used routinely. Each patient had noninva sive diagnostic procedures pre- and postoperatively (Figure 1).
Get full access to this article
View all access options for this article.
References
1.
Polterauer, P., Kretschmer, G., Wagner, O., et al.: Die PTFE-Kunststoffprothese in der femoro-poplitealen Etage . Presented at 2. Gemeinsame Jahrestagung der angiologischen Gesellschaften Deutschlands, Osterreichs und der Schweiz , Düsseldorf, 1979.
2.
Campbell, C.D. , Brooks, D.H., Webster, M.W., et al.: Expanded microporous polytetrafluoroethylene as a vascular substitute: A two year follow-up. Surgery,85: 177, 1979.
3.
Hamann, H., Vollmar, J.: Expanded PTFE-Gefäßprothese ein neuer Weg des Arterien- und Venenersatzes ? Chirurg50: 249, 1979.
4.
Polterauer P., Wagner, O., Piza, F., et al.: Early results of arterial grafting with expanded polytetrafluoroethylene Goretex. IN De Bakey M.E. (Ed.) Proceedings of the International Congress of Cardiovascular Surgery , 1977, p. 266.
5.
Darling, R.C.: Autogenous saphenous vein bypass grafts for femoropopliteal occlusive disease . IN Sawyer, Ph.N., Kaplitt, M.J., (Eds.): Vascular Grafts. New York, NY, Appleton, 1978, p. 237.
6.
Raithel, D.: Changing concept in reconstructive surgery for aorto-popliteal disease. IN De Bakey, M.E. (Ed.) Proceedings of the International Congress of Cardiovascular Surgery. 1977, p. 251.
7.
Veith, F.J., Moss, M.Ch., Daly, V., et al.: New approaches to limb salvage by extended extraanatomic bypasses and prosthetic reconstruction to foot arteries. Surgery,84: 764, 1978.
8.
Veith, F.J., Fell, St.C., Haemovici, H.: Comparison of expanded polytetrafluoroethylene and autologous saphenous vein grafts in high risk arterial reconstructions for limb salvage. Surg. Gynecol. Obstet.,147: 749, 1978.
9.
Veith, F.J., Moss, C.V., Fell, St.C., et al.: Expanded polytetrafluoroethylene grafts in reconstructive arterial surgery. JAMA240: 1868, 1978.
