A comparison of distal end-to-side and end-to-end anastomoses in femoropopliteal bypasses.

Authors :: Hoedt MT
van Urk H
Hop WC
van der Lugt A
Wittens CH
Source :: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2001 Mar; Vol. 21 (3), pp. 266-70.
Publication Year :: 2001
Abstract: Objectives: to compare end-to-side (ETS) and end-to-end (ETE) distal anastomoses. Design retrospective cohort study.<br />Methods: retrospective cohort study. Between 1988 and 1992, 204 femoropopliteal bypasses (188 patients) were performed for claudication (55%), rest pain (22%) and tissue loss (23%). One hundred and eighteen ETS were compared with 86 ETE in terms of patency or a mean (range) follow-up of 68 (0.5-120) months.<br />Results: overall patency was 86%, 66% and 57% at 1, 5 and 8 years, respectively. Multivariate analysis showed ETE anastomoses (p =0.04), and also knee bypass ( p =0.05) and venous conduit ( p =0.004) to be significantly associated with impaired patency.<br />Conclusions: ETE may improve femoropopliteal bypass patency.<br /> (Copyright 2001 Harcourt Publishers Limited.)

Subjects :: Chi-Square Distribution
Cohort Studies
Female
Humans
Male
Proportional Hazards Models
Retrospective Studies
Risk Factors
Statistics, Nonparametric
Survival Analysis
Treatment Outcome
Vascular Patency
Anastomosis, Surgical methods
Blood Vessel Prosthesis
Femoral Artery surgery
Popliteal Artery surgery

Language :: English
ISSN :: 1078-5884
Volume :: 21
Issue :: 3
Database :: MEDLINE
Journal :: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
Publication Type :: Academic Journal
Accession number :: 11352686
Full Text :: https://doi.org/10.1053/ejvs.2000.1283

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