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PTFE bypass to belo...
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Lundgren, FredrikÖstergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Kardiologiska kliniken
(author)
PTFE bypass to below-knee arteries : distal vein collar or not? A prospective randomised multicentre study
- Article/chapterEnglish2010
Publisher, publication year, extent ...
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Elsevier BV,2010
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-139596
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-139596URI
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https://doi.org/10.1016/j.ejvs.2010.01.016DOI
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https://gup.ub.gu.se/publication/146709URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-58235URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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BackgroundPatency and limb salvage after synthetic bypass to the arteries below-knee are inferior to that which can be achieved with autologous vein. Use of a vein collar at the distal anastomosis has been suggested to improve patency and limb salvage, a problem that is analysed in this randomised clinical study.MethodsPatients with critical limb ischaemia undergoing polytetrafluoroethylene (PTFE) bypass to below-knee arteries were randomly either assigned a vein collar or not in two groups – bypass to the popliteal artery below-knee (femoro-popliteal below-knee (FemPopBK)) and more distal bypass (femoro-distal bypass (FemDist)). Follow-up was scheduled until amputation, death or at most 5 years, whichever event occurred first.ResultsIn the FemPopBK and in the FemDist groups, 115/202 and 72/150 were randomised to have a vein collar, respectively. Information was available for 345 of 352 randomised patients (98%).At 3 years, primary patency was 26% (95% confidence interval (CI) 18–38) with a vein collar and 43 (33–58) without a vein collar for femoro-popliteal bypass and 20 (11–38), and 17 (9–33) for femoro-distal bypass, respectively. The corresponding figures for limb salvage were 64 (54–75) and 61 (50–74) for femoro-popliteal bypass, and 59 (46–76) and 44 (32–61) for femoro-distal bypass with and without a vein collar, respectively. Log-rank-test for the whole Kaplan–Meier life table curve showed no statistically significant differences with or without vein collar primary patency: p = 0.0853, p = 0.228; secondary patency: p = 0.317, p = 0.280; limb salvage: p = 0.757, p = 0.187 for FemPopBK and FemDist, respectively. The use of a vein collar did not influence patency or limb salvage.ConclusionThis study failed to show any benefit for vein collar with PTFE bypass to a below-knee artery.
Subject headings and genre
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MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
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MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
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Aged
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80 and over
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Anastomosis
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Surgical
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methods
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Angiography
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Blood Vessel Prosthesis
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Female
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Femoral Artery
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surgery
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Follow-Up Studies
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Humans
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Ischemia
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diagnosis
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Leg
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blood supply
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Male
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Polytetrafluoroethylene
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Popliteal Artery
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Prospective Studies
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Saphenous Vein
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transplantation
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Tibial Arteries
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Transplantation
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Autologous
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Treatment Outcome
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Ultrasonography
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Doppler
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Duplex
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PTFE bypass; Femoro-popliteal; Femoro-crural; Popliteal arteries; Tibial arteries; Vein collar; Critical limb ischaemia
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MEDICINE
Added entries (persons, corporate bodies, meetings, titles ...)
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Bergqvist, DavidUppsala universitet,Kärlkirurgi(Swepub:uu)daviberg
(author)
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Norgren, L
(author)
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Schroeder, TGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Copenhagen
(author)
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Carstensen, J
(author)
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Hälsa, T
(author)
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Almström, CBoden,Motala
(author)
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Almgren, BBoden
(author)
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Drott, CBorås
(author)
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Jansson, IEskilstuna
(author)
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Hallstensson, SFalun
(author)
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Jivegård, LGöteborg-Sahlgrenska
(author)
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Örtenwall, PGöteborg-Östra
(author)
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Tuvesson, TGävle
(author)
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Plate, GHelsingborg
(author)
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Potemkowski, AKalmar
(author)
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Lundqvist, BKarlstad
(author)
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Emetrsjö, GKristian
(author)
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Jönsson, BjörnÖstergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Thorax-kärlkliniken(Swepub:liu)bjojo48
(author)
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Jonung, TLund
(author)
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Lindblad, BMalmö
(author)
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Wingren, UMölndal
(author)
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Svensson, MNorrköping
(author)
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Fornander, BNyköping
(author)
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Björck, MartinUppsala universitet,Kärlkirurgi,Skellefteå(Swepub:uu)mabjo425
(author)
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Brunes, LSkövde
(author)
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Johansson, GStockholm-StGöran
(author)
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Karlström, LStockholm
(author)
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Tornell, P ETrollhättan
(author)
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Ljungman, KristerUppsala universitet,Kärlkirurgi,Uppsala(Swepub:uu)chlju021
(author)
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Aldman, AVästervik
(author)
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Forsberg, OVästerås
(author)
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Björkman, HVäxjö
(author)
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Arfvidsson, BÖrebro
(author)
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Bohlin, TÖstersund
(author)
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Nielsen, J SAalborg
(author)
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Madsen, M SKolding
(author)
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Linköpings universitetFysiologi
(creator_code:org_t)
Related titles
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In:European Journal of Vascular and Endovascular Surgery: Elsevier BV39:6, s. 747-7541078-58841532-2165
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- By the author/editor
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Lundgren, Fredri ...
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Bergqvist, David
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Norgren, L
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Schroeder, T
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Carstensen, J
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Hälsa, T
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show more...
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Almström, C
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Almgren, B
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Drott, C
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Jansson, I
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Hallstensson, S
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Jivegård, L
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Örtenwall, P
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Tuvesson, T
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Plate, G
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Potemkowski, A
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Lundqvist, B
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Emetrsjö, G
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Jönsson, Björn
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Jonung, T
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Lindblad, B
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Wingren, U
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Svensson, M
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Fornander, B
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Björck, Martin
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Brunes, L
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Johansson, G
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Karlström, L
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Tornell, P E
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Ljungman, Kriste ...
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Aldman, A
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Forsberg, O
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Björkman, H
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Arfvidsson, B
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Bohlin, T
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Nielsen, J S
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Madsen, M S
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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European Journal ...
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Uppsala University
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University of Gothenburg
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Linköping University