Fifty six patients underwent fifty nine complex extra-anatomic revascular ization procedures using Gore Tex®. Nine grafts (15%) occluded. We opted not to revise 2 grafts and other two grafts thrombectomized ultimately failed. Five grafts were declotted and have remained patent.
The other patients have patent grafts or died of their primary illness with patent grafts (overall patency 93%). The surviving patients have been followed for an average period of 27.7 months (0.5-56 mo.).
Based on this experience we conclude that Gore Tex®, is a suitable conduit for complex extra-anatomic bypass in patients whose condition contraindicates direct vascular reconstruction.
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References
1.
Alexander RH , Selby JH: Axillofemoral Bypass Grafts Using Polytetrafloethylene . Southern Med J73: 1325-30, 1980.
2.
Bunt TJ, Haynes JL: Axillofemoral Bypass Grafts. J South Carolina Med Assoc12: 435-6,1982.
3.
Broome A., Christenson JT, Eklof B., Norgren L.: Axillofemoral Bypass Reconstruction in Sixty One Patients with Leg Ischemia . Surgery88: 673-6, 1980.
Cooley DA, Wukasch DC: Techniques in Vascular Surgery. Philadelphia, WB Saunders Co, 1979, pp. 20-44.
6.
Crawford ES, De Bakey ME, Morris GC Jr, Howell JF: Surgical Treatment of Occlusion of the Innominate, Common Carotid and Subclavian Arteries: A Ten Year Experience. Surg65: 17-31, 1969.
7.
Elefteriades JA, Kay HA, Stansel HC and Geha AS: Extra-anatomical Reconstruction for Bilateral Intrathoracic Subclavian Artery Aneurysms. Ann Thorac Surg35: 188-91, 1983.
8.
Garcia-Rinaldi R., Rea JE III, Gallaguer MW, et al: Gore Tex® Small Vessel Angioplasty: A Suitable Substitute for the Use of Autogenous Saphenous Vein Grafts. Cardiovasc Diseases, Bull Tex Heart Institute7: 371-381, 1980.
9.
Gupta SK, Veith FJ: Three Year Experience with Expanded Polytetrafluoroethylene Arterial Grafts for Limb Salvage. Am J Surg140: 214-217, 1980.
10.
Haimov H., Giron F., Jacobson JH: The Expanded Polytetrafluoroethylene Graft. Three Years' Experience with 362 Grafts. Arch Surg114: 673-7, 1979.
