Cuffed anastomosis for above-knee femoropopliteal bypass with a stretch expanded polytetrafluoroethylene graft

Abstract

The use of a cuffed anastomosis in FP bypass with an ePTFE stretch prosthesis appears to increase graft patency rates.

Plasma adiponectin as a predictive factor of survival after a bypass operation for peripheral arterial disease

“…PAD with hemodialysis is the most serious condition associated with this disease and has the worst survival, 20 although a recent improvement in graft patency was reported. 21,22 The contribution of adiponectin to the mortality rate of hemodialysis patients remains to be elucidated in future studies.…”

Midterm Results of a Japanese Prospective Multicenter Registry of Heparin-Bonded Expanded Polytetrafluoroethylene Grafts for Above-the-Knee Femoropopliteal Bypass

“…In some cases, the graft was anastomosed to the above-knee segment of the femoropopliteal artery with a protruding area created around the anastomotic toe (cuffed anastomosis). 6 No vein patches or vein cuffs were used at the anastomosis in this study. The choice of suture, heparin and protamine regimens, and topical hemostatic agents was not protocol-specified and was left to the individual surgeon's standard of care.…”

“…Inoue et al reported that the use of a cuffed anastomosis in AKb with an ePTFE stretch prosthesis appears to increase graft patency rates (2-year primary graft patency rate, 90%). 6 They reported that the anastomotic shape produced by tailoring a stretch ePTFE graft has the advantage of allowing adjustments to the native arterial diameter. Additionally, precuffing below-the-knee femoropopliteal grafts has been shown to achieve similar patency rates to vein-cuff interposition at the distal anastomosis.…”

Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: Report of a case

“…1,2 Occasionally, graft occlusion is due to thrombosis of an anastomotic false aneurysm or is associated with graft infection. Infl ow occlusion or stenosis at the aortic anastomosis occurs because of degeneration, elongation, and kinking of the graft.…”