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June 1979

The Expanded Polytetrafluoroethylene GraftThree Years' Experience With 362 Grafts

Author Affiliations

From the Department of Surgery, Division of Vascular Surgery, The Mount Sinai Hospital and The Mount Sinai School of Medicine, New York.

Arch Surg. 1979;114(6):673-677. doi:10.1001/archsurg.1979.01370300027003

• A total of 362 polytetrafluoroethylene (PTFE) grafts were implanted in patients as vascular substitutes in a variety of vascular reconstructive procedures. A total of 184 were used in femoropopliteal bypass operations. Cumulative patency rates showed 74% patency at the end of the first year of observation and 58% after two and three years. Seventeen grafts were used for femorotibial bypasses, with a cumulative patency rate of 40.4% after one year. Ninety-eight grafts were implanted in the upper or lower extremity to serve as vascular access for hemodialysis. For this group, the cumulative one-year patency rate was 83%. Sixty-three additional grafts were implanted in various other anatomic locations. Based on this experience, the PTFE graft seems to be a promising and versatile vascular prosthesis, although it should be used cautiously.

(Arch Surg 114:673-677, 1979)