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PTFE bypass to belo...
PTFE bypass to below-knee arteries : distal vein collar or not? A prospective randomised multicentre study
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- Lundgren, Fredrik (author)
- Östergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Kardiologiska kliniken
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- Bergqvist, David (author)
- Uppsala universitet,Kärlkirurgi
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Norgren, L (author)
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- Schroeder, T (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Copenhagen
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Carstensen, J (author)
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Hälsa, T (author)
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- Almström, C (author)
- Boden,Motala
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- Almgren, B (author)
- Boden
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- Drott, C (author)
- Borås
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- Jansson, I (author)
- Eskilstuna
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- Hallstensson, S (author)
- Falun
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- Jivegård, L (author)
- Göteborg-Sahlgrenska
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- Örtenwall, P (author)
- Göteborg-Östra
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- Tuvesson, T (author)
- Gävle
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- Plate, G (author)
- Helsingborg
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- Potemkowski, A (author)
- Kalmar
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- Lundqvist, B (author)
- Karlstad
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- Emetrsjö, G (author)
- Kristian
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- Jönsson, Björn (author)
- Östergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Thorax-kärlkliniken
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- Jonung, T (author)
- Lund
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- Lindblad, B (author)
- Malmö
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- Wingren, U (author)
- Mölndal
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- Svensson, M (author)
- Norrköping
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- Fornander, B (author)
- Nyköping
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- Björck, Martin (author)
- Uppsala universitet,Kärlkirurgi,Skellefteå
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- Brunes, L (author)
- Skövde
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- Johansson, G (author)
- Stockholm-StGöran
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- Karlström, L (author)
- Stockholm
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- Tornell, P E (author)
- Trollhättan
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- Ljungman, Krister (author)
- Uppsala universitet,Kärlkirurgi,Uppsala
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- Aldman, A (author)
- Västervik
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- Forsberg, O (author)
- Västerås
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- Björkman, H (author)
- Växjö
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- Arfvidsson, B (author)
- Örebro
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- Bohlin, T (author)
- Östersund
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- Nielsen, J S (author)
- Aalborg
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- Madsen, M S (author)
- Kolding
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(creator_code:org_t)
- Elsevier BV, 2010
- 2010
- English.
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In: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 39:6, s. 747-754
- Related links:
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http://www.ejves.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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https://urn.kb.se/re...
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Abstract
Subject headings
Close
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Aged
- 80 and over
- Anastomosis
- Surgical
- methods
- Angiography
- Blood Vessel Prosthesis
- Female
- Femoral Artery
- surgery
- Follow-Up Studies
- Humans
- Ischemia
- diagnosis
- Leg
- blood supply
- Male
- Polytetrafluoroethylene
- Popliteal Artery
- Prospective Studies
- Saphenous Vein
- transplantation
- Tibial Arteries
- Transplantation
- Autologous
- Treatment Outcome
- Ultrasonography
- Doppler
- Duplex
- PTFE bypass; Femoro-popliteal; Femoro-crural; Popliteal arteries; Tibial arteries; Vein collar; Critical limb ischaemia
- MEDICINE
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- 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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show less...
- About the subject
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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
- Articles in the publication
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European Journal ...
- By the university
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Uppsala University
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University of Gothenburg
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Linköping University