Laurendeau F, Lassonde J
Department of Surgery, Université de Montréal, PQ.
Can J Surg. 1989 Jan;32(1):48-50.
Over 6 1/2 years, 64 femoropopliteal bypasses were done on 55 patients, using polytetrafluoroethylene (PTFE). The PTFE was chosen because previous surgery or small diameter prohibited the use of saphenous vein. The distal anastomoses were always placed above the knee. Patency rates were 92% at 1 month, 76% at 1 year, 72% at 2 years and 59% at 3 years, and then reached a plateau of 55% at 4 years. When autogenous vein is not available, PTFE is the material of choice for femoropopliteal reconstruction. The results compare favourably with those using saphenous vein in an above-knee situation.
在6年半的时间里，对55例患者进行了64次股腘动脉搭桥手术，使用的是聚四氟乙烯（PTFE）。选择PTFE是因为先前的手术或血管直径过小而无法使用大隐静脉。远端吻合口总是位于膝关节上方。术后1个月通畅率为92%，1年时为76%，2年时为72%，3年时为59%，4年时达到平稳状态，为55%。当无法使用自体静脉时，PTFE是股腘动脉重建的首选材料。其结果与在膝关节上方使用大隐静脉的情况相比更具优势。
