Six year experience with expanded polytetrafluoroethylene arterial grafts for limb salvage

E. Ascer, F. J. Veith, S. K. Gupta, G. Krasowski, R. H. Samson, L. A. Scher, S. A. White-Flores, S. Sprayregen

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

We have used 822 polytetrafluoroethylene (PTFE) grafts in arterial reconstructions for limb salvage over the last 6 years at Montefiore Medical Center-Albert Einstein College of Medicine. Four hundred and twenty-seven femoropopliteal reconstructions with OTFE had a 6 year cumulative life table patency rate of 55% with follow-up of 76 grafts for more than 3 years and 28 grafts for more than 4 years. Seventy-nine bypasses to the isolated popliteal segment had a 6 year cumulative patency rate of 72%. There were 207 bypasses performed to the tibial, peroneal or dorsalis pedis arteries. Life table patency rates were 55% at 1 year, 40% at 2 years and 37% at 4 years. Ninety-two PTFE femorofemoral and 62 axillofemoral bypasses had 5 1/2 year cumulative life table patency rates of 83% and 75%, respectively. Axillopoliteal PTFE bypasses can salvage otherwise doomed limbs. Thirty-four such grafts had 74% 1 year and 45% 5 year patency rates. The overall infection rate in all 822 PTFE grafts was only 0.5%. Thus, PTFE is a promising vascular prosthetic material which facilitates otherwise difficult or impossible limb salvage procedures.

Original languageEnglish (US)
Pages (from-to)468-472
Number of pages5
JournalJournal of Cardiovascular Surgery
Volume26
Issue number5
StatePublished - Dec 1 1985
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Ascer, E., Veith, F. J., Gupta, S. K., Krasowski, G., Samson, R. H., Scher, L. A., White-Flores, S. A., & Sprayregen, S. (1985). Six year experience with expanded polytetrafluoroethylene arterial grafts for limb salvage. Journal of Cardiovascular Surgery, 26(5), 468-472.