Femoro-Supragenicular Popliteal Bypass with a Bridging Stent Graft in a Diffusely Diseased Distal Target Popliteal Artery: Alternative to Below-Knee Popliteal Polytetrafluoroethylene Bypass
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 371-377, 2017.
Article
in English
| WPRIM
| ID: wpr-139847
ABSTRACT
BACKGROUND:
Lesions in distal target arteries hinder surgical bypass procedures in patients with peripheral arterial occlusive disease.METHODS:
Between April 2012 and October 2015, 16 patients (18 limbs) with lifestyle-limiting claudication (n=12) or chronic critical limb ischemia (n=6) underwent femoral–above-knee (AK) polytetrafluoroethylene (PTFE) bypass grafts with a bridging stent graft placement between the distal target popliteal artery and the PTFE graft. Ring-supported PTFE grafts were used in all patients with no available vein for graft material. Follow-up evaluations assessed clinical symptoms, the ankle-brachial index, ultrasonographic imaging and/or computed tomography angiography, the primary patency rate, and complications.RESULTS:
All procedures were successful. The mean follow-up was 12.6 months (range, 11 to 14 months), and there were no major complications. The median baseline ankle-brachial index of 0.4 (range, 0.2 to 0.55) significantly increased to 0.8 (range, 0.5 to 1.0) at 12 months (p<0.01). The primary patency rate at 12 months was 83.3%. The presenting symptoms resolved within 2 weeks.CONCLUSION:
In AK bypasses with a diffusely diseased distal target popliteal artery or when below-knee (BK) bypass surgery is impossible, this procedure could be clinically effective and safe when used as an alternative to femoral-BK bypass surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polytetrafluoroethylene
/
Popliteal Artery
/
Arterial Occlusive Diseases
/
Arteries
/
Veins
/
Blood Vessel Prosthesis
/
Angiography
/
Stents
/
Follow-Up Studies
/
Transplants
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2017
Type:
Article
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