Extensible expanded polytetrafluoroethylene vascular grafts for aortoiliac and aortofemoral reconstruction

Roberto Chiesa, Germano Melissano, Renata Castellano, Sillia Frigerio

Research output: Contribution to journalArticlepeer-review

Abstract

The operative experience and medium-term outcome achieved with longitudinally extensible ('stretch') expanded polytetrafluoroethylene (ePTFE) bifurcated grafts in patients undergoing aortoiliac or aortofemoral reconstruction for occlusive disease at our institution was reviewed. Between 1991 and 1998, 242 patients received a bifurcated stretch graft. Forty-one patients (17%) required an aortic endarterectomy, and 63 (26%) underwent femoral artery endarterectomy. 228 patients were followed for a mean of 32months. One patient (0.4%) died perioperatively. The perioperative morbidity included cardiac (3.7%), respiratory (2.5%), and renal (3.3%) complications. Three patients required early reoperation for bleeding. Four (1.7%) grafts thrombosed within 24h of surgery; eight additional grafts (3.3%) thrombosed 5-8months later. There were three postoperative aortic graft infections, one inguinal infection, three inguinal pseudoaneurysms, and one aortic pseudoaneurysm. Ultrasonography during follow-up showed no periprosthetic fluid collections or graft dilatations. The bifurcated ePTFE stretch graft is suitable for aortoiliac and aortofemoral reconstruction, and its physical characteristics may help to reduce graft-related complications. Copyright (C) 2000 The International Society for Cardiovascular Surgery.

Original languageEnglish
Pages (from-to)538-544
Number of pages7
JournalCardiovascular Surgery
Volume8
Issue number7
DOIs
Publication statusPublished - 2000

Keywords

  • Aortofemoral
  • Aortoiliac
  • Atherosclerosis
  • Dacron
  • Expanded polytetrafluoroethylene
  • Surgery
  • Vascular graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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