Revascularization of the femoropopliteal arteries using saphenous vein, polytetrafluoroethylene, and umbilical vein grafts. Five- and six-year results
J. J. Cranley and C. D. Hafner
Saphenous vein (SV), polytetrafluoroethylene (PTFE), and umbilical vein
(UV) grafts placed in the femoropopliteal or tibial areas for occlusive
arterial disease were compared for the years between 1975 and 1982. In
proximal v distal popliteal replacement, the early failure rate differed
only in PTFE grafts to relieve ischemia, with below-knee failure being
worse. In all femoropopliteal grafts for claudication, the SV were better
than the UV grafts. When done for ischemia, the SV were better than the UV
grafts. When done for ischemia, the SV were better than the PTFE grafts. By
life-table analysis, SV grafts done for claudication or for ischemia were
superior to PTFE grafts. The UV grafts also were better than PTFE grafts.
Arteriography showed marked aneurysmal dilatation in a UV graft in the
common femoral to popliteal to anterior tibial area at 50 months. In a
second patient, mild aneurysmal dilatation was seen. The UV graft is
acceptable when SV is not available. The PTFE graft across the knee gives
poor results but above the knee is comparable with UV grafts.
