Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259
Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 1
Comparison of Expanded Polytetrafluoroethylene and Greater Saphenous vein Grafts in Above-Knee Arterial Bypass Grafting Operations
Seyhan YILMAZ1,Ceyhan YILMAZ2,Eray AKSOY1,Adnan YALÇINKAYA1,Adem İlkay DİKEN1,Kerim ÇAĞLI1
1Kalp Damar Cerrahisi Kliniği, Hitit Üniversitesi Çorum Eğitim ve Araştırma Hastanesi, Çorum
2Bilgisayar Mühendisliği Bölümü, Iğdır Üniversitesi Mühendislik Fakültesi, Iğdır
DOI : 10.9739/uvcd.2014-43074 Objective: We aimed to compare patency rates of greater saphenous vein and ringed expanded polytetrafluoroethylene (PTFE) grafts in patients undergoing femoropopliteal bypass grafting. Material and Methods: The clinical records of 29 patients with Fontaine IIb-IV peripheral artery disease symptoms who underwent femoro-popliteal bypass grafting between January 2012 and December 2013 were retrospectively analyzed. Patients were divided into two groups based on the type of graft used: A ringed PTFE graft was used in patients in Group 1 (n=17, mean age: 62.46±12.24 years, female/male ratio: 6/11), and a reversed greater saphenous vein graft was used in patients in Group 2 (n=12, mean age: 63.16±11.07 years, female/male ratio: 5/7), Follow-up information was gathered during a period of 12 months after the operation, and included clinical information and graft patency. Vascular surgeons who performed the operations determined operation techniques and the type of vascular grafts. Results: Early graft failure within 30 days was not seen in either groups, One patient in Group 1 underwent a re-intervention for graft failure. This patient had a patent graft at the end of the follow-up period, One-year primary patency rate was 94 and 100 in Groups 1 and 2 respectively whereas secondary patency rate was 100 in both groups. Conclusion: Both type of grafts provided satisfactory one-year patency rates in treatment of femoro-popliteal artery disease. Greater saphenous vein seems to require less re-intervention than PTFE graft in treatment of femoro-popliteal artery stenosis. Keywords : Peripheral arterial disease; polytetrafluoroethylene; vascular grafting