The current position of precuffed expanded polytetrafluoroethylene bypass grafts in peripheral vascular surgery.


OBJECTIVE:Long-term results of precuffed expanded polytetrafluoroethylene (ePTFE) grafts used for peripheral bypass surgery are lacking. The aim of this study was to obtain the long-term outcomes of precuffed ePTFE grafts compared with autologous saphenous vein (ASV) grafts used in patients with peripheral arterial disease (PAD). METHODS:A single-institution retrospective study of precuffed ePTFE and ASV graft performances in patients with PAD was undertaken between January 2004 and December 2012. Five-year primary patency, secondary patency, and limb salvage rates were determined by Kaplan-Meier analyses. RESULTS:A total of 467 bypass grafts were included in this study (169 precuffed ePTFE grafts and 298 ASV grafts). Secondary patency rates of ePTFE vs ASV at 1 and 5 years, respectively, were as follows: for 134 supragenicular femoropopliteal bypasses, 60% and 27% vs 89% and 85% (P < .05); for 190 infragenicular femoropopliteal bypasses, 40% and 25% vs 86% and 79% (P < .05); and for 84 femorocrural bypasses, 30% and 14% vs 50% and 50% (P < .05). Five-year limb salvage rates of ePTFE vs ASV for supragenicular femoropopliteal bypasses were 82% vs 94% (P = .16); for infragenicular femoropopliteal bypasses, 41% vs 92% (P < .05); and for femorocrural bypasses, 43% vs 64% (P = .06). CONCLUSIONS:ASV bypasses are still the first-choice conduit in peripheral bypass surgery performed in patients with PAD. Precuffed ePTFE bypasses are acceptable alternatives in the absence of adequate autologous vein.


J Vasc Surg


van der Slegt J,Steunenberg SL,Donker JM,Veen EJ,Ho GH,de Groot HG,van der Laan L




Has Abstract


2014-07-01 00:00:00














  • Frailty index predicts long-term mortality and postoperative complications in patients undergoing endovascular aortic aneurysm repair.

    abstract:OBJECTIVE:The Risk Analysis Index (RAI) has been used to evaluate preoperative frailty, which is associated with poor short- and long-term outcomes. We assessed this tool's ability to predict postoperative outcomes after endovascular aortic aneurysm repair. METHODS:Institutional Review Board approval was obtained for ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Tse W,Newton D,Amendola M,George M,Pfeifer J

    更新日期:2020-11-01 00:00:00

  • Stent placement for treatment of central and peripheral venous obstruction: a long-term multi-institutional experience.

    abstract:PURPOSE:The clinical success and patency of central and peripheral venous stents in patients with symptomatic venous obstruction (SVO) were assessed. METHODS:The records of patients with SVO treated with venous stents from 1992 to 1999 were reviewed. Demographic and procedural variables were analyzed to determine thei...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Oderich GS,Treiman GS,Schneider P,Bhirangi K

    更新日期:2000-10-01 00:00:00

  • Intravascular ultrasound scanning improves long-term patency of iliac lesions treated with balloon angioplasty and primary stenting.

    abstract:PURPOSE:Underdeployment of an intravascular stent has been identified as a cause of restenosis or occlusion of a treated arterial lesion. Intravascular ultrasound (IVUS) has been shown to initially improve the anatomic and clinical stenting. The purpose of this study was to determine whether the use of IVUS increased l...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Buckley CJ,Arko FR,Lee S,Mettauer M,Little D,Atkins M,Manning LG,Patterson DE

    更新日期:2002-02-01 00:00:00

  • Role of Galphaq in smooth muscle cell proliferation.

    abstract:BACKGROUND:G protein-linked receptors are involved in the processes that lead to intimal hyperplasia. This study examined the role of Galphaq signaling pathways in vascular smooth muscle cell (SMC) proliferation in vitro. METHODS:Rat pulmonary artery SMCs were cultured in vitro. Standard assays of cellular DNA synthes...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Tanski WJ,Roztocil E,Hemady EA,Williams JA,Davies MG

    更新日期:2004-03-01 00:00:00

  • Postoperative thrombotic complications in patients with lupus anticoagulant: increased risk after vascular procedures.

    abstract::This study retrospectively analyzes the nature of postoperative thrombotic complications in patients with the lupus anticoagulant. Tests in 84 patients were positive for the presence of antiphospholipid antibodies by an abnormal rabbit brain neutralization procedure, positive for the presence of anticardiolipin antibo...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Ahn SS,Kalunian K,Rosove M,Moore WS

    更新日期:1988-06-01 00:00:00

  • High prevalence of mild hyperhomocysteinemia in patients with abdominal aortic aneurysm.

    abstract:PURPOSE:In vitro studies have recently demonstrated that homocysteine interacts with the aortic wall by inducing both elastolysis and endothelial perturbation. The aim of this study was to evaluate homocysteine plasma levels and their relationships with aortic diameter and endothelial damage in patients with abdominal ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Brunelli T,Prisco D,Fedi S,Rogolino A,Farsi A,Marcucci R,Giusti B,Pratesi C,Pulli R,Gensini GF,Abbate R,Pepe G

    更新日期:2000-09-01 00:00:00

  • Outcome-based anatomic criteria for defining the hostile aortic neck.

    abstract:OBJECTIVE:There is abundant evidence linking hostile proximal aortic neck anatomy to poor outcome after endovascular aortic aneurysm repair (EVAR), yet the definition of hostile anatomy varies from study to study. This current analysis was undertaken to identify anatomic criteria that are most predictive of success or ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Jordan WD Jr,Ouriel K,Mehta M,Varnagy D,Moore WM Jr,Arko FR,Joye J,de Vries JP,Aneurysm Treatment using the Heli-FX Aortic Securement System Global Registry ANCHOR.,Aneurysm Treatment using the Heli-FX Aortic Securement System Global R

    更新日期:2015-06-01 00:00:00

  • Diffusion of new technology for the treatment of renovascular hypertension in the United States: surgical revascularization versus catheter-based therapy, 1988-2001.

    abstract:BACKGROUND:Trends in the management of renovascular hypertension were evaluated by using a representative national database to determine whether a shift in treatment technology and outcomes has occurred. METHODS:Clinical information regarding the treatment of renovascular hypertension in 5433 patients from 1988 to 200...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Knipp BS,Dimick JB,Eliason JL,Cowan JA,Henke PK,Proctor MS,Stanley JC,Upchurch GR

    更新日期:2004-10-01 00:00:00

  • Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator.

    abstract::Portal and mesenteric venous thrombosis is an uncommon condition that is usually treated with systemic anticoagulation. Catheter-directed thrombolysis via the superior mesenteric artery may be a viable adjunct to treatment of this potentially morbid condition. We present a case of portal and mesenteric venous thrombos...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Henao EA,Bohannon WT,Silva MB Jr

    更新日期:2003-12-01 00:00:00

  • Use and limitations of thrombolytic therapy in the treatment of peripheral arterial ischemia: results of a multi-institutional questionnaire.

    abstract::In an attempt to assess the efficacy of thrombolytic infusions for arterial ischemia, a questionnaire was distributed to 142 vascular surgeons. Data from 45 respondents who had experience with thrombolytic infusion in 623 patients were reviewed. A successful outcome was obtained in 313 of 623 patients (50.2%). Morbidi...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Ricotta JJ,Green RM,DeWeese JA

    更新日期:1987-07-01 00:00:00

  • Dose-response of compression therapy for chronic venous edema--higher pressures are associated with greater volume reduction: two randomized clinical studies.

    abstract:BACKGROUND:Two phase II clinical studies used an experimental, multi-chambered compression device with different cuff pressure combinations in subjects with leg edema and chronic venous insufficiency. The objective of each study was to evaluate the safety and the relative effects of different cuff pressure combinations...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Vanscheidt W,Ukat A,Partsch H

    更新日期:2009-02-01 00:00:00

  • Aortic mural thrombus: an occult source of arterial thromboembolism.

    abstract::During a 28-year period from 1955 to 1983, two cases of massive repetitive arterial thromboembolism from nonaneurysmal aortic mural thrombus were diagnosed antemortem and successfully corrected at the University of California, Los Angeles Medical Center. Within the same time period, 48 cases of nonaneurysmal aortic mu...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Machleder HI,Takiff H,Lois JF,Holburt E

    更新日期:1986-11-01 00:00:00

  • Sequential compression biomechanical device in patients with critical limb ischemia and nonreconstructible peripheral vascular disease.

    abstract:OBJECTIVES:Critical limb ischemia (CLI) patients who are unsuitable for intervention face the dire prospect of primary amputation. Sequential compression biomechanical device (SCBD) therapy provides a limb salvage option for these patients. This study assessed the outcome of SCBD in severe CLI patients who otherwise wo...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Sultan S,Hamada N,Soylu E,Fahy A,Hynes N,Tawfick W

    更新日期:2011-08-01 00:00:00

  • Vascular medicine and surgery in ancient Egypt.

    abstract::Lauded alike by ancient civilizations and modern society, pharaonic Egyptian medicine remains an object of fascination today. This article discusses its surprisingly sophisticated understanding of a cardiovascular system. The term "cardiovascular system," however, carries assumptions and meanings to a modern audience,...

    journal_title:Journal of vascular surgery

    pub_type: 历史文章,杂志文章


    authors: Barr J

    更新日期:2014-07-01 00:00:00

  • Endovascular management of recurrent stenosis following left renal vein transposition for the treatment of Nutcracker syndrome.

    abstract::Nutcracker syndrome is an entity resulting from left renal vein compression by the superior mesenteric artery and the aorta, leading to symptoms of left flank pain and hematuria. Conventional treatment has been surgical, commonly through transposition of the left renal vein to a more caudal location on the inferior ve...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Baril DT,Polanco P,Makaroun MS,Chaer RA

    更新日期:2011-04-01 00:00:00

  • Aneurysm sac expansion is independently associated with late mortality in patients treated with endovascular aneurysm repair.

    abstract:BACKGROUND:Patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms can exhibit variations in sac behavior ranging from complete regression to expansion. We evaluated the impact of sac behavior at 1-year follow-up on late survival. METHODS:We used the Vascular Study Group of New England (...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Deery SE,Ergul EA,Schermerhorn ML,Siracuse JJ,Schanzer A,Goodney PP,Cambria RP,Patel VI,Vascular Study Group of New England.

    更新日期:2018-01-01 00:00:00

  • The association between preoperative length of stay and surgical site infection after lower extremity bypass for chronic limb-threatening ischemia.

    abstract:OBJECTIVE:Surgical site infection (SSI) is an important complication of lower extremity bypass (LEB) and the rate of SSI after LEB varies widely in the existing literature, ranging from 4% to 31%. Prolonged length of stay (LOS) has been implicated in the occurrence of SSI across multiple surgical disciplines. The impac...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Stewart LM,Spangler EL,Sutzko DC,Pearce BJ,McFarland GE,Passman MA,Patterson MA,Haverstock B,Unger K,Novak Z,Beck AW

    更新日期:2020-09-01 00:00:00

  • Carotid endarterectomy contralateral to an occluded carotid artery: perioperative risk and late results.

    abstract::To define better the short-term risk and long-term benefit of carotid endarterectomy opposite an occluded carotid artery, we reviewed our experience since 1961. Angiographic data are available for 598 of 670 (89.3%) patients in our carotid registry. In 63 (10.5%) patients the internal or common carotid artery on the s...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Mackey WC,O'Donnell TF Jr,Callow AD

    更新日期:1990-06-01 00:00:00

  • Geometric changes over time in bridging stents after branched and fenestrated endovascular repair for thoracoabdominal aneurysm.

    abstract:OBJECTIVE:The objective of this study was to assess long-term durability of bridging stents in branched and combined branched and fenestrated endovascular aneurysm repair (B/F-EVAR) for thoracoabdominal aortic aneurysm (TAAA) and pararenal abdominal aortic aneurysm. METHODS:A retrospective database analysis was perfor...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: de Niet A,Post RB,Reijnen MMPJ,Zeebregts CJ,Tielliu IFJ

    更新日期:2019-09-01 00:00:00

  • Experimental pulmonary embolism: effects of the thrombus and attenuation of pulmonary artery injury by low-molecular-weight heparin.

    abstract:BACKGROUND:Pulmonary embolism (PE) is a life-threatening condition that is associated with the long-term sequelae of chronic pulmonary hypertension. Prior experimental work has suggested that post-PE inflammation is accompanied by pulmonary artery intimal hyperplasia. This study evaluated the effect of the thrombus and...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Rectenwald JE,Deatrick KB,Sukheepod P,Lynch EM,Moore AJ,Moaveni DM,Dewyer NA,Luke CE,Upchurch GR Jr,Wakefield TW,Kunkel SL,Henke PK

    更新日期:2006-04-01 00:00:00

  • Peripheral artery reconstructions using cryopreserved arterial allografts in infected fields.

    abstract:OBJECTIVE:Cryopreserved human arterial allografts are a recognized acceptable alternative for vascular reconstruction when other traditional conduits are either unavailable or contraindicated. We reviewed our experience using cryopreserved arterial allografts for peripheral artery reconstructions in contaminated and in...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Furlough CL,Jain AK,Ho KJ,Rodriguez HE,Tomita TM,Eskandari MK

    更新日期:2019-08-01 00:00:00

  • Penetrating femoropopliteal injury during modern warfare: experience of the Balad Vascular Registry.

    abstract:OBJECTIVE:Wounding patterns, methods of repair, and outcomes from femoropopliteal injury have been documented in recent civilian literature. In Operation Iraqi Freedom, as in past conflicts, these injuries continue to be a therapeutic challenge. Therefore, the objective of the current study is to document the pattern o...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Woodward EB,Clouse WD,Eliason JL,Peck MA,Bowser AN,Cox MW,Jones WT,Rasmussen TE

    更新日期:2008-06-01 00:00:00

  • The bone marrow-derived endothelial progenitor cell response is impaired in delayed wound healing from ischemia.

    abstract:OBJECTIVE:Vasculogenesis relies on the recruitment of bone marrow-derived endothelial progenitor cells (BMD EPCs) and is stimulated by tissue-level ischemia. We hypothesized that the BMD EPC response is impaired in ischemic wounds and studied the relationship between BMD EPCs and wound healing. METHODS:We used transge...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Bauer SM,Goldstein LJ,Bauer RJ,Chen H,Putt M,Velazquez OC

    更新日期:2006-01-01 00:00:00

  • Determining who trains vascular surgery fellows in endovascular techniques.

    abstract:OBJECTIVES:Vascular surgery training has evolved from a single clinical year after general surgery training to a multi-year training program to encompass such entities as noninvasive vascular laboratory, office-based procedures, and endovascular techniques. Simultaneously, members of the vascular surgery community have...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Reed AB,Rhodes R,Ricotta J

    更新日期:2010-03-01 00:00:00

  • Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options.

    abstract::Isolated superior mesenteric artery dissection is a relatively rare vascular pathology. However, the number of recent case reports has shown an increasing incidence with the widespread use of computed tomography imaging for abdominal pain. Here we report three cases of isolated superior mesenteric artery dissection. T...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Morris JT,Guerriero J,Sage JG,Mansour MA

    更新日期:2008-03-01 00:00:00

  • Outcome of moderate carotid artery stenosis in patients who are asymptomatic.

    abstract:PURPOSE:The incidence rate of disease progression and stroke after the diagnosis of a moderate (50% to 79%) carotid stenosis was determined by means of color-flow duplex scanning. METHODS:During a 4-year period, 344 male veterans with moderate internal carotid artery stenoses, on one or both sides, were examined at re...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Mansour MA,Littooy FN,Watson WC,Blumofe KA,Heilizer TJ,Steffen GF,Chmura C,Kang SS,Labropoulos N,Greisler HP,Fisher SG,Baker WH

    更新日期:1999-02-01 00:00:00

  • Aminoterminal propeptide of type III procollagen in the follow-up of patients with abdominal aortic aneurysms.

    abstract:PURPOSE:We evaluate here whether serial changes in the concentration of the aminoterminal propeptide of type III procollagen (PIIINP) in serum bear any relationship to the rate of abdominal aortic aneurysm (AAA) expansion and whether serum PIIINP has any predictive value with respect to the rupture event. METHODS:One ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Satta J,Haukipuro K,Kairaluoma MI,Juvonen T

    更新日期:1997-05-01 00:00:00

  • Overuse of early peripheral vascular interventions for claudication.

    abstract:OBJECTIVE:Guidelines from the Society for Vascular Surgery and the Choosing Wisely campaign recommend that peripheral vascular interventions (PVIs) be limited to claudication patients with lifestyle-limiting symptoms only after a failed trial of medical and exercise therapy. We sought to explore practice patterns and p...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Hicks CW,Holscher CM,Wang P,Black JH 3rd,Abularrage CJ,Makary MA

    更新日期:2020-01-01 00:00:00

  • An anterior tibial artery aneurysm in a patient with neurofibromatosis.

    abstract::Von Recklinghausen's Type 1 neurofibromatosis (NF) is a genetic disorder of neuroectodermal tissue. Arterial involvement has also been recognized. Stenotic lesions predominate, but aneurysms have been documented as well. Aortoiliac, visceral, and cervical aneurysms are well represented in the literature. Rarely noted,...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Young LP,Stanley A,Menzoian JO

    更新日期:2001-05-01 00:00:00

  • Predictors of bleeding or anemia requiring transfusion in complex endovascular aortic repair and its impact on outcomes in health insurance claims.

    abstract:OBJECTIVE:This study aimed to determine predictors and outcomes associated with bleeding or anemia requiring transfusion (BAT) after fenestrated or branched endovascular aneurysm repair (FB-EVAR). METHODS:Health insurance claims data of Germany's third largest insurance provider, DAK-Gesundheit, were used to investiga...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Behrendt CA,Debus ES,Schwaneberg T,Rieß HC,Dankhoff M,Makaloski V,Sedrakyan A,Kölbel T

    更新日期:2020-02-01 00:00:00