AUTOGENOUS VENOUS GRAFTS 10 YEARS LATER

  • 1 January 1977
    • journal article
    • research article
    • Vol. 82  (6) , 775-784
Abstract
The status of 103 patients and their 113 autogenous venous femoropopliteal bypass grafts exactly 5 yr after operation was presented previously. A 10 yr follow-up now is possible. The mortality rate at 5 yr was 48% (50 of 103) and at 10 yr was 73% (75 of 103). Myocardial infarction was probably the cause of death of 36% of the 103 patients. The actual graft patency rate for survivors at 5 yr was 59% (35 of 59) and at 10 yr was 38% (11 of 29). Utilizing the same data, late graft patency rates of 45, 58 and 58% would be calculated or predicted by other methods of reporting. Of 46 extremities operated on for claudication, 22 patients were alive and 45% of grafts (10 of 22) were patent 10 yr later. Of patients with a total of 67 extremities operated on for rest pain or gangrene, only 7 patients were alive and 14% (1 of 7) of the grafts patent. Patency rates at 10 yr of short grafts were 43% (9 of 21) and of long grafts 25% (2 of 8). Extremities with good runoff had patency rates of 41% (9 of 22) at 10 yr and those with poor runoff had patency rates of 29% (2 of 7). Arteriograms demonstrated atherosclerotic changes in 1 of 18 grafts at 5 yr and in 2 of 8 grafts at 10 yr. More facts regarding long-term prognosis following arterial reconstruction was provided and careful analysis of any report with a comparison of patency rates was suggested or invited.

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