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130例聚四氟乙烯移植物的经验。

Experience with 130 polytetrafluoroethylene grafts.

作者信息

Sladen J G, Maxwell T M

出版信息

Am J Surg. 1981 May;141(5):546-8. doi: 10.1016/0002-9610(81)90045-3.

DOI:10.1016/0002-9610(81)90045-3
PMID:7223945
Abstract

One hundred thirty operations utilizing polytetrafluoroethylene (Gore-Tex) grafts were analyzed after follow-up of 1 to 3 years. The results of femoropopliteal below-knee and femorotibial grafts were disappointing. The polytetrafluoroethylene graft is versatile and allows crossing of the knee joint. It will maintain patency into a poor outflow tract and has a low complication rate. Thrombectomy can be accomplished easily and late. The main disadvantage appears to be neointimal hyperplasia, most obvious when the graft is inserted into small vessels. Sudden occlusion is not uncommon. The polytetrafluoroethylene graft is still a second choice to vein. Its use as a composite graft with vein to small vessels deserves further examination.

摘要

对130例使用聚四氟乙烯(戈尔特斯)移植物的手术进行了1至3年的随访分析。股腘动脉膝下和股胫移植物的结果令人失望。聚四氟乙烯移植物用途广泛,可穿过膝关节。它能在流出道不佳的情况下保持通畅,且并发症发生率低。血栓切除术可轻松且在后期完成。主要缺点似乎是内膜增生,当移植物植入小血管时最为明显。突然闭塞并不罕见。聚四氟乙烯移植物仍是静脉的第二选择。其与静脉作为复合移植物用于小血管的用途值得进一步研究。

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1
Experience with 130 polytetrafluoroethylene grafts.130例聚四氟乙烯移植物的经验。
Am J Surg. 1981 May;141(5):546-8. doi: 10.1016/0002-9610(81)90045-3.
2
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The expanded polytetrafluoroethylene graft. Three years' experience with 362 grafts.膨体聚四氟乙烯移植物。362例移植物的三年经验。
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Is the preferential use of polytetrafluoroethylene grafts for below-knee femoropopliteal bypass justified?对于膝下股腘动脉搭桥术优先使用聚四氟乙烯移植物是否合理?
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Below-knee femoropopliteal bypass using externally supported polytetrafluoroethylene (PTFE) grafts.使用外部支撑聚四氟乙烯(PTFE)移植物的膝下股腘动脉搭桥术。
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