• Autogenous saphenous vein was used preferentially for 92 below-knee bypass procedures (44 femoral-distal popliteal and 48 femoral-distal tibial or peroneal) performed for limb salvage in 87 adult male patients during a 30-month period of study. When a saphenous vein was unavailable or of unsuitable length or diameter, we randomly used expanded polytetrafluoroethylene (PTFE) and composite Dacron-autogenous vein (DV) grafts. With good run-off, all grafts have remained patent. However, with poor run-off, cumulative patency by the life table method decreased to 54% for autogenous saphenous vein and 45% for PTFE, which was not significantly different. All composite DV grafts used with poor run-off became occluded within the first ten months of the study. We continue to recommend use of autogenous saphenous vein for revascularization of the ischemic lower extremity. When a suitable saphenous vein is unavailable, PTFE is a satisfactory alternative graft that is superior to composite DV grafts.
(Arch Surg 115:833-837, 1980)
Hobson RW, O'Donnell JA, Jamil Z, Mehta K. Below-Knee Bypass for Limb SalvageComparison of Autogenous Saphenous Vein, Polytetrafluoroethylene, and Composite Dacron-Autogenous Vein Grafts. Arch Surg. 1980;115(7):833-837. doi:10.1001/archsurg.1980.01380070023005