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A Consideration Against Its Routine Use in This Position

Steven G. Friedman, MD; K. V. Krishnasastry, MD

Arch Surg. 1990;125(5):668-670.

Abstract
• The preferential use of a synthetic arterial graft in the aboveknee femoral-popliteal position is advocated by many surgeons for a variety of reasons. Our recent experience with three cases of substantial deterioration of runoff vessels within a brief period, which may have resulted from embolization from such a conduit, is presented along with other arguments against the routine use of a prosthesis in this position. The procedure with the best possible outcome, namely, one utilizing autogenous vein, should be performed at the outset in all patients except those with a limited life expectancy or those in whom a lengthy procedure would be hazardous.

(Arch Surg. 1990;125:668-670)

Author Affiliations
From the Department of Surgery, North Shore University Hospital, Manhasset, NY; and Cornell University Medical College, New York, NY.

Footnotes
Accepted for publication July 8, 1989.

Reprint requests to 560 Northern Blvd, Suite 209, Great Neck, NY 11021 (Dr Friedman).

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