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Vascular and Endovascular Surgery
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Polytetrafluoroethylene Bifurcation Prosthesis for the Treatment of Aortoiliac Atherosclerotic Occlusive Disease: A 5-Year Clinical Trial

G. Motta

1st Department of Semeiotica Chirurgica, University of Genoa, School of Medicine, Genoa, Italy

G.B. Ratto

1st Department of Semeiotica Chirurgica, University of Genoa, School of Medicine, Genoa, Italy

G.B. Secco

1st Department of Semeiotica Chirurgica, University of Genoa, School of Medicine, Genoa, Italy

R. Fardelli

1st Department of Semeiotica Chirurgica, University of Genoa, School of Medicine, Genoa, Italy

E. Beretta

1st Department of Semeiotica Chirurgica, University of Genoa, School of Medicine, Genoa, Italy

During the period of 1984-1986, the authors have implanted 13 poly tetrafluoroethylene (PTFE) bifurca tion grafts for the treatment of aor toiliac occlusive disease. The patients were 12 men and 1 woman, their mean age being 60.5 ± 6.3 years. The indi cations for aortoiliac reconstruction were limiting claudication in 6 pa tients and rest pain in 7 patients. Follow-up lasted forty-six ± seven months and included physical exami nation, measurement of the ankle- brachial pressure index, and ultra sonography. Arteriography was per formed exclusively in symptomatic patients. No operative deaths or major complications were recorded. Graft limb occlusion occurred in 2 patients, eight and twenty-two months after surgery, respectively. The five-year patency rate was 85 % . During follow-up, there was no evi dence of graft infection, kinking, stenosis, or dilatation. Neither peri- graft seroma nor anastomotic aneu rysm developed.

Vascular and Endovascular Surgery, Vol. 24, No. 5, 335-339 (1990)
DOI: 10.1177/153857449002400506
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