Outcomes and Fate of the Distal Landing Zone Compared Between Prosthetic and Autologous Grafts After Infra-Inguinal Graft Occlusions
Rother U, Gruber M, Behrendt CA, Günther J, Lang W, Meyer A (2022)
Publication Type: Journal article
Publication year: 2022
Journal
Book Volume: 9
Article Number: 811126
DOI: 10.3389/fsurg.2022.811126
Abstract
Background: Due to an increasing life expectancy, more and more patients experience the failure of peripheral arterial revascularization. This study aims to investigate patients treated for the failure of infra-inguinal bypass grafts, and to investigate the interaction of different bypass materials [great saphenous vein (GSV) and polytetrafluoroethylene (PTFE)] and the further outcome. Methods: Retrospective single-center analysis of consecutive patients treated for acute or chronic occlusion of infra-inguinal bypasses at a university hospital was conducted. Hospitalizations from 1st January 2010 through 31st December 2019 were included. Perioperative parameters from the index operation including graft material (prosthetic vs. autologous) were assessed. After bypass occlusion, the grade of ischemia, as well as the distal landing zone of the redo bypass compared with the primary bypass was investigated. Results: In this study, 158 (65% men and 35% women with a m mean age of 70.5 years) eligible patients were included (57% vein and 42% prosthetic bypass grafts). After graft occlusion, 47% of the patients presented with symptoms of acute limb-threatening ischemia, 53% with symptoms of chronic leg ischemia. The rate of acute limb-threatening ischemia was significantly higher when prosthetic graft material was used during the index operation (p =0.016). Additionally, in case of reoperation, the landing zone of the redo bypass was significantly more distally located after occlusion of prosthetic bypass graft (p = 0.014) Conclusion: Occlusions of prosthetic bypass grafts were associated with significantly higher rates of acute symptoms compared with vein grafts. Additionally, a shift to a more distal landing zone was recognized after the failure of a prosthetic bypass graft during the redo bypass operation.
Authors with CRIS profile
Ulrich Rother
Department of Vascular Surgery
Marc Gruber
Department of Vascular Surgery
Josefine Günther
Department of Vascular Surgery
Werner Lang
Department of Vascular Surgery
Alexander Meyer
Department of Vascular Surgery
Involved external institutions
Germany (DE)How to cite
APA:
Rother, U., Gruber, M., Behrendt, C.-A., Günther, J., Lang, W., & Meyer, A. (2022). Outcomes and Fate of the Distal Landing Zone Compared Between Prosthetic and Autologous Grafts After Infra-Inguinal Graft Occlusions. Frontiers in Surgery, 9. https://doi.org/10.3389/fsurg.2022.811126
MLA:
Rother, Ulrich, et al. "Outcomes and Fate of the Distal Landing Zone Compared Between Prosthetic and Autologous Grafts After Infra-Inguinal Graft Occlusions." Frontiers in Surgery 9 (2022).
BibTeX: Download