• Corpus ID: 24688606

Revision of failed infrainguinal bypass graft: principles of management.

  title={Revision of failed infrainguinal bypass graft: principles of management.},
  author={Richard M. Green and Kenneth Ouriel and John J. Ricotta and James A. Deweese},
  volume={100 4},
Our experience with 112 patients whose infrainguinal bypass grafts (IIBPGs) failed more than 30 days after insertion was reviewed. Cumulative patency rates (CPRs) after graft revision (GR) were 71% at 6 months, 62% at 12 months, 57% at 24 months, 54% at 36 months, and 46% at 48 months. CPRs of IIBPGs that failed more than 12 months after insertion were higher than those of grafts that failed earlier (60% vs. 36% at 36 months (p less than 0.05). Failure of the initial GR did not preclude a… 

Efficacy of Thrombolysis in Infrainguinal Bypass Grafts

Compared with a survey of long-term results following secondary surgical procedures for thrombosed infrainguinal grafts, thrombolysis can be recommended in several circumstances and correction of flow-limiting lesions is essential to improve long- term patency.

Management of Failed or Failing Infrainguinal Bypasses with Distal Correctable Lesions

The patency of failing infrainguinal bypasses after revision of distal lesions was affected not by means of therapy but by previous vascular procedures, the usual risk factors, and female gender.

Secondary Infrageniculate Bypass with Polytetrafluoroethylene

It is concluded that in this high-risk population when no saphenous vein is available, PTFE may provide acceptable limb salvage when used in secondary infrageniculate reconstructions.

Secondary Distal Extension of Infrainguinal Bypass: Long-Term Limb and Patient Survival

It is indicated that patients with advanced peripheral vascular disease may have prolonged survival, and extension bypasses contribute significantly to their limb salvage, and aggressive application of extension bypass to save threatened limbs is supported.

Pulsed Transthrombotic Fibrinolysis: Technique and Results in the Management of Occluded Lower Limb Bypass Grafts

This study demonstrates that, in cases not requiring immediate surgery, pulsed transthrombotic fibrinolysis can achieve durable patency by treating both the bypass and distal arterial network.

Tissue loss, early primary graft occlusion, female gender, and a prohibitive failure rate of secondary infrainguinal arterial reconstruction.

Secondary infrainguinal bypasses are associated with an increased rate of graft failure and significant limb loss, particularly in those with a history of rest pain or tissue loss, female gender, and early prior graft failure, and aggressive postoperative graft surveillance is speculated to improve these outcomes.