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Intercondylar Route of Prosthetic Infragenicular Femoropopliteal Bypass Has Better Primary, Assisted, and Secondary Patency but Not Limb Salvage Rate Compared to the Medial Route
Joint Authors
Grus, Tomas
Lambert, Lukas
Banerjee, Rohan
Grusova, Gabriela
Rohn, Vilem
Vidim, Tomas
Mitas, Petr
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
To compare the differences between medial and intercondylar infragenicular femoropopliteal prosthetic bypasses in terms of their midterm patency and limb salvage rates.
Methods.
Ninety-three consecutive patients with peripheral arterial disease who underwent a simple distal femoropopliteal bypass using a reinforced polytetrafluorethylene graft were included in this retrospective study.
The bypass was constructed in the intercondylar route in 52 of the patients (group A) and in 41 in the medial route (group B).
Results.
Median observation time of the patients was 12.7 (IQR 4.6–18.5) months.
There were 22 and 24 interventional or surgical procedures (angioplasty, stenting, thrombolysis, thrombectomy, or correction of the anastomosis) performed to restore patency of the reconstruction in groups A and B, respectively ( p = 0.14 ).
The 20-month primary, assisted, and secondary patency rates and limb salvage rates were 57%, 57%, 81%, and 80% in group A compared to 21%, 23%, 55%, and 82% in group B ( p = 0.0012 , 0.0052, 0.022, and 0.44, resp.).
Conclusion.
Despite better primary, assisted, and secondary patency rates in patients with a prosthetic infragenicular femoropopliteal bypass embedded in the intercondylar fossa compared to patients with the medial approach, there is no benefit in terms of the limb salvage rate and the number of interventions required to maintain patency of the reconstruction.
American Psychological Association (APA)
Grus, Tomas& Lambert, Lukas& Banerjee, Rohan& Grusova, Gabriela& Rohn, Vilem& Vidim, Tomas…[et al.]. 2016. Intercondylar Route of Prosthetic Infragenicular Femoropopliteal Bypass Has Better Primary, Assisted, and Secondary Patency but Not Limb Salvage Rate Compared to the Medial Route. BioMed Research International،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096839
Modern Language Association (MLA)
Grus, Tomas…[et al.]. Intercondylar Route of Prosthetic Infragenicular Femoropopliteal Bypass Has Better Primary, Assisted, and Secondary Patency but Not Limb Salvage Rate Compared to the Medial Route. BioMed Research International No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1096839
American Medical Association (AMA)
Grus, Tomas& Lambert, Lukas& Banerjee, Rohan& Grusova, Gabriela& Rohn, Vilem& Vidim, Tomas…[et al.]. Intercondylar Route of Prosthetic Infragenicular Femoropopliteal Bypass Has Better Primary, Assisted, and Secondary Patency but Not Limb Salvage Rate Compared to the Medial Route. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096839
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096839