%0 Journal Article
%T Graft selection for the peripheral vascular by-pass surgery and its contribution to patency
%A Hikmet Sel£¿uk Gedik
%A Kemal Korkmaz
%A Hayati Deniz
%J Dicle Medical Journal
%D 2012
%I Dicle University Medical School
%X Objectives: In this study, we aimed to present clinical resultsassociated with graft selection in peripheral bypasssurgery.Materials and methods: Between August 2007 and January2009, 68 patients who underwent peripheral arterialbypass surgery in our cardiovascular department wereincluded in this study. Eighty-one percent (n=55) of themwere male and 19 % (n=13) of them were female, patients¡¯mean age was 57¡À10 years. We have performedaorto-bifemoral bypass to 16 patients, femoro-politeal bypassto 36 patients, femoro-femoral cross over bypassto 7 patients, ilio-femoro-politeal bypass to 4 patients,aorto- femoral bypass to1 patient and axillo-bifemoral bypassin 4 patients, respectively. Saphenous vein, stentedor stentless polytetrafluoroethylene (PTFE) and Dacrongrafts and composite grafts were used according to atheroscleroticarea and surgical technique.Results: Above knee bypass procedure was performedin 31 patients and the remaining 7 patients required kneelevel or below knee bypass procedure. Comparing syntheticgrafts and composit vein grafts above knee and belowknee regions, revealed that there was no differencein above knee region, but in the below knee region autogenoussaphenous vein graft was superior to syntheticgrafts in patency rate.Conclusions: In this study, according to patency rate,there was no difference in above knee bypass procedures;but in the below knee bypass procedures, autogenoussaphenous vein graft was found superior to syntheticgrafts.Key words: Peripheral by-pass, graft selection
%K Peripheral by-pass
%K graft selection
%U http://www.diclemedj.org/upload/sayi/3/Dicle%20Med%20J-01216.pdf