SYMPOSIA PAPER Published: 01 January 1986
STP33278S

Expanded Polytetrafluoroethylene (PTFE) Arterial Grafts: An Eight-Year Experience

Source

Eight hundred twenty-two polytetrafluoroethylene (PTFE) grafts were used in arterial reconstructions for lower limb ischemia over the last eight years at Montefiore Medical Center, Albert Einstein College of Medicine. Four hundred twenty-seven femoropopliteal reconstructions with PTFE had a six-year cumulative life table patency rate of 55%, with follow-up of seventy-six grafts for more than three years and twenty-eight grafts for more than four years. Seventy-nine bypasses to an isolated popliteal segment had a six-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 one year, 40% at two years, and 37% at four years. Ninety-two PTFE femorofemoral and sixty-two axillofemoral bypasses had a five-and-one-half-year cumulative life table patency rates of 83 and 75%, respectively. Axillopopliteal PTFE bypasses can salvage otherwise doomed limbs. Thirty-four such grafts had 74% one-year and 45% five-year patency rates. The overall infection rate in all 822 PTFE grafts was only 0.5%. Thus, PTFE is a promising vascular prosthetic material that can facilitate otherwise difficult or impossible limb salvage procedures.

Author Information

Veith, FJ
Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY
Ascer, E
Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY
Gupta, SK
Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY
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Details
Developed by Committee: F04
Pages: 25–32
DOI: 10.1520/STP33278S
ISBN-EB: 978-0-8031-4966-3
ISBN-13: 978-0-8031-0462-4