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Horace C. Stansel, Jr, MD; John E. Fenn, MD; M. David Tilson, MD; Hillel Laks, MD

Arch Surg. 1979;114(11):1291-1294.

Abstract
• This report describes a 24-month follow-up in 100 consecutive polytetrafluoroethylene (PTFE) arterial grafts. Although initial results were superb, a continued follow-up has showed extremely high closure rates for femoropopliteal and femorotibial grafts. The primary reason for this high attrition rate is thought to be stasis. We believe that PTFE is clearly the best synthetic arterial replacement available, but the material does not approach the autogenous saphenous vein in terms of long-term patency. Therefore, in spite of its many advantages, we do not recommend the elective use of PTFE for peripheral small-vessel bypass.

(Arch Surg 114:1291-1294, 1979)

Author Affiliations
From the Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication July 27, 1979.

Read before the 27th scientific meeting of the International Cardiovascular Society, Nashville, Tenn, June 28, 1979.

Reprint requests to Yale University School of Medicine, 333 Cedar St, New Haven, CT 06510 (Dr Stansel).

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