[Skip to Navigation]
May 1990

The Possibility of Distal Embolization From a Femoral-Popliteal Prosthesis Above the Knee: A Consideration Against Its Routine Use in This Position

Author Affiliations

From the Department of Surgery, North Shore University Hospital, Manhasset, NY; and Cornell University Medical College, New York, NY.

Arch Surg. 1990;125(5):668-670. doi:10.1001/archsurg.1990.01410170116025

• The preferential use of a synthetic arterial graft in the aboveknee femoral-popliteal position is advocated by many surgeons for a variety of reasons. Our recent experience with three cases of substantial deterioration of runoff vessels within a brief period, which may have resulted from embolization from such a conduit, is presented along with other arguments against the routine use of a prosthesis in this position. The procedure with the best possible outcome, namely, one utilizing autogenous vein, should be performed at the outset in all patients except those with a limited life expectancy or those in whom a lengthy procedure would be hazardous.

(Arch Surg. 1990;125:668-670)