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Femoropopliteal and Tibioperoneal Artery Reconstruction Using Human Umbilical Vein
Jay G. Robison, MD;
David C. Brewster, MD;
William M. Abbott, MD;
R. Clement Darling, MD
Arch Surg. 1983;118(9):1039-1042.
Abstract
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• We used 99 human umbilical vein (HUV) grafts for femoropopliteal or tibioperoneal artery reconstruction in 94 patients. Results were calculated according to the life-table method for several categories possibly influencing graft patency. For above-knee v below-knee distal anastomosis, there was no difference in patency or limb-salvage rates at 30 months. Comparison of good and poor runoff situations disclosed similar 30-month graft patency rates, but significantly better limb-salvage rates among patients with good runoff. Primary revascularization fared significantly better than secondary procedures in terms of patency and limb salvage. We found no significant differences between HUV and polytef (polytetrafluoroethylene) for above-knee anastomoses or good runoff situations. However, patency and limb salvage were better for HUV use in below-knee anastomosis and poor runoff situations. The HUV may offer advantages in long-term patency and limb salvage in selected patients.
(Arch Surg 1983;118:1039-1042)
Author Affiliations
From the General Surgical Services, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School, Boston.
Footnotes
Accepted for publication March 3, 1983.
Read before the ninth annual meeting of the New England Society for Vascular Surgery, Bretton Woods, NH, Oct 14, 1982.
Reprint requests to 3 Hawthorne Pl, Boston, MA 02114 (Dr Darling).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Dacron EXS Graft for Femoropopliteal Arterial Reconstruction
Matsubara et al.
VASC ENDOVASCULAR SURG 1989;23:280-285.
ABSTRACT
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