A comparison of endovascular assisted and conventional in situ bypass grafts

Dolores F. Cikrit, Nicholas F. Fiore, Michael Dalsing, Stephen G. Lalka, Alan Sawchuk, Alan P. Ladd, Shannon Dodson

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Thirty-three in situ saphenous vein bypass grafts were performed using a conventional open technique (CI) while 31 in situ bypass grafts were performed using endovascular occlusion of side branches (EAI). Bypass grafts were performed from the femoral to the popliteal (n=37) or a trifurcation (n=27) artery for claudication (n=7), rest pain (n=14), or tissue loss (n=43). Wound complications developed in 11 Cl and four EAl limbs. Postoperative hospitalization in CI and EAI patients was, respectively, 8.4±2.0 days and 4±1.6 days. Missed arteriovenous fistulas were noted in one CI and 17 EAI limbs postoperatively. At follow-up four (12%) CI and six (19%) EAI grafts were occluded or had undergone revision surgery. Based on life-table analysis CI and EAI cumulative patency rates at 18 months were 79% and 83%, respectively. Although this new technique (EAI bypass grafting) did not reduce operative time, it did decrease the length of surgical incisions and the duration of postoperative hospitalization (p < 0.001, Student's t test). Wound complications occurred less frequently in EAI limbs but the incidence of missed arteriovenous fistulas was significantly higher. These data suggest that EAI and CI patency is comparable. Ultimately long-term patency will be the crucial test for determining the utility of this new technique.

Original languageEnglish
Pages (from-to)37-43
Number of pages7
JournalAnnals of Vascular Surgery
Volume9
Issue number1
DOIs
StatePublished - Jan 1995

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Transplants
Extremities
Arteriovenous Fistula
Hospitalization
Life Tables
Saphenous Vein
Wounds and Injuries
Operative Time
Thigh
Reoperation
Arteries
Students
Pain
Incidence
Surgical Wound

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

A comparison of endovascular assisted and conventional in situ bypass grafts. / Cikrit, Dolores F.; Fiore, Nicholas F.; Dalsing, Michael; Lalka, Stephen G.; Sawchuk, Alan; Ladd, Alan P.; Dodson, Shannon.

In: Annals of Vascular Surgery, Vol. 9, No. 1, 01.1995, p. 37-43.

Research output: Contribution to journalArticle

Cikrit, Dolores F. ; Fiore, Nicholas F. ; Dalsing, Michael ; Lalka, Stephen G. ; Sawchuk, Alan ; Ladd, Alan P. ; Dodson, Shannon. / A comparison of endovascular assisted and conventional in situ bypass grafts. In: Annals of Vascular Surgery. 1995 ; Vol. 9, No. 1. pp. 37-43.
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