Femorofemoral bypass with femoral popliteal vein

Victor D'Addio, Ahsan Ali, Carlos Timaran, Tif Siragusa, James Valentine, Frank Arko, J. Gregory Modrall, G. Patrick Clagett

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: The femoropopliteal vein (FPV) has been used successfully for vascular reconstructions at multiple sites. To date, there have been no studies documenting patency of the FPV graft in the femorofemoral position. Our goal was to assess long-term patency of the FPV graft used for femorofemoral bypass (FFBP). Methods: Patients undergoing FFBP over a 10-year period were studied. Those in whom the FPV was used as a conduit were analyzed for runoff resistance score to assess how patients with poor runoff fared. Poor runoff was defined as a runoff resistance score of <7 (1 = normal runoff, 10 = total occlusion of all runoff vessels). Results: Fifty-four patients underwent FPV FFBP as a sole procedure (n = 16, 30%) or as a portion of an aortofemoral reconstruction with a FFBP component (n = 38, 70%). Mean (± SD) follow-up was 47 ± 33 months. The 1-, 3-, and 5-year primary patencies were 97%, 93%, and 76%. The 5-year assisted primary and secondary patency rates were 85% and 90%. Among 27 patients with poor runoff (runoff resistance score of <7), the cumulative 40 month patency rate was 90%. Among patients in whom FPV FFBP was performed as a primary procedure (no aortofemoral component), there were no graft failures. Conclusions: FFBP performed with FPV has excellent 1-, 3, and 5-year patency rates. FPV has sustained patency for FFBP in patients with poor runoff.

Original languageEnglish (US)
Pages (from-to)35-39
Number of pages5
JournalJournal of Vascular Surgery
Volume42
Issue number1
DOIs
StatePublished - Jul 2005

Fingerprint

Popliteal Vein
Femoral Vein
Veins
Transplants
Blood Vessels

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

D'Addio, V., Ali, A., Timaran, C., Siragusa, T., Valentine, J., Arko, F., ... Clagett, G. P. (2005). Femorofemoral bypass with femoral popliteal vein. Journal of Vascular Surgery, 42(1), 35-39. https://doi.org/10.1016/j.jvs.2005.03.056

Femorofemoral bypass with femoral popliteal vein. / D'Addio, Victor; Ali, Ahsan; Timaran, Carlos; Siragusa, Tif; Valentine, James; Arko, Frank; Modrall, J. Gregory; Clagett, G. Patrick.

In: Journal of Vascular Surgery, Vol. 42, No. 1, 07.2005, p. 35-39.

Research output: Contribution to journalArticle

D'Addio, V, Ali, A, Timaran, C, Siragusa, T, Valentine, J, Arko, F, Modrall, JG & Clagett, GP 2005, 'Femorofemoral bypass with femoral popliteal vein', Journal of Vascular Surgery, vol. 42, no. 1, pp. 35-39. https://doi.org/10.1016/j.jvs.2005.03.056
D'Addio, Victor ; Ali, Ahsan ; Timaran, Carlos ; Siragusa, Tif ; Valentine, James ; Arko, Frank ; Modrall, J. Gregory ; Clagett, G. Patrick. / Femorofemoral bypass with femoral popliteal vein. In: Journal of Vascular Surgery. 2005 ; Vol. 42, No. 1. pp. 35-39.
@article{1ed7df8d1b6646a79e362b8c36e98c0c,
title = "Femorofemoral bypass with femoral popliteal vein",
abstract = "Background: The femoropopliteal vein (FPV) has been used successfully for vascular reconstructions at multiple sites. To date, there have been no studies documenting patency of the FPV graft in the femorofemoral position. Our goal was to assess long-term patency of the FPV graft used for femorofemoral bypass (FFBP). Methods: Patients undergoing FFBP over a 10-year period were studied. Those in whom the FPV was used as a conduit were analyzed for runoff resistance score to assess how patients with poor runoff fared. Poor runoff was defined as a runoff resistance score of <7 (1 = normal runoff, 10 = total occlusion of all runoff vessels). Results: Fifty-four patients underwent FPV FFBP as a sole procedure (n = 16, 30{\%}) or as a portion of an aortofemoral reconstruction with a FFBP component (n = 38, 70{\%}). Mean (± SD) follow-up was 47 ± 33 months. The 1-, 3-, and 5-year primary patencies were 97{\%}, 93{\%}, and 76{\%}. The 5-year assisted primary and secondary patency rates were 85{\%} and 90{\%}. Among 27 patients with poor runoff (runoff resistance score of <7), the cumulative 40 month patency rate was 90{\%}. Among patients in whom FPV FFBP was performed as a primary procedure (no aortofemoral component), there were no graft failures. Conclusions: FFBP performed with FPV has excellent 1-, 3, and 5-year patency rates. FPV has sustained patency for FFBP in patients with poor runoff.",
author = "Victor D'Addio and Ahsan Ali and Carlos Timaran and Tif Siragusa and James Valentine and Frank Arko and Modrall, {J. Gregory} and Clagett, {G. Patrick}",
year = "2005",
month = "7",
doi = "10.1016/j.jvs.2005.03.056",
language = "English (US)",
volume = "42",
pages = "35--39",
journal = "Journal of Vascular Surgery",
issn = "0741-5214",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Femorofemoral bypass with femoral popliteal vein

AU - D'Addio, Victor

AU - Ali, Ahsan

AU - Timaran, Carlos

AU - Siragusa, Tif

AU - Valentine, James

AU - Arko, Frank

AU - Modrall, J. Gregory

AU - Clagett, G. Patrick

PY - 2005/7

Y1 - 2005/7

N2 - Background: The femoropopliteal vein (FPV) has been used successfully for vascular reconstructions at multiple sites. To date, there have been no studies documenting patency of the FPV graft in the femorofemoral position. Our goal was to assess long-term patency of the FPV graft used for femorofemoral bypass (FFBP). Methods: Patients undergoing FFBP over a 10-year period were studied. Those in whom the FPV was used as a conduit were analyzed for runoff resistance score to assess how patients with poor runoff fared. Poor runoff was defined as a runoff resistance score of <7 (1 = normal runoff, 10 = total occlusion of all runoff vessels). Results: Fifty-four patients underwent FPV FFBP as a sole procedure (n = 16, 30%) or as a portion of an aortofemoral reconstruction with a FFBP component (n = 38, 70%). Mean (± SD) follow-up was 47 ± 33 months. The 1-, 3-, and 5-year primary patencies were 97%, 93%, and 76%. The 5-year assisted primary and secondary patency rates were 85% and 90%. Among 27 patients with poor runoff (runoff resistance score of <7), the cumulative 40 month patency rate was 90%. Among patients in whom FPV FFBP was performed as a primary procedure (no aortofemoral component), there were no graft failures. Conclusions: FFBP performed with FPV has excellent 1-, 3, and 5-year patency rates. FPV has sustained patency for FFBP in patients with poor runoff.

AB - Background: The femoropopliteal vein (FPV) has been used successfully for vascular reconstructions at multiple sites. To date, there have been no studies documenting patency of the FPV graft in the femorofemoral position. Our goal was to assess long-term patency of the FPV graft used for femorofemoral bypass (FFBP). Methods: Patients undergoing FFBP over a 10-year period were studied. Those in whom the FPV was used as a conduit were analyzed for runoff resistance score to assess how patients with poor runoff fared. Poor runoff was defined as a runoff resistance score of <7 (1 = normal runoff, 10 = total occlusion of all runoff vessels). Results: Fifty-four patients underwent FPV FFBP as a sole procedure (n = 16, 30%) or as a portion of an aortofemoral reconstruction with a FFBP component (n = 38, 70%). Mean (± SD) follow-up was 47 ± 33 months. The 1-, 3-, and 5-year primary patencies were 97%, 93%, and 76%. The 5-year assisted primary and secondary patency rates were 85% and 90%. Among 27 patients with poor runoff (runoff resistance score of <7), the cumulative 40 month patency rate was 90%. Among patients in whom FPV FFBP was performed as a primary procedure (no aortofemoral component), there were no graft failures. Conclusions: FFBP performed with FPV has excellent 1-, 3, and 5-year patency rates. FPV has sustained patency for FFBP in patients with poor runoff.

UR - http://www.scopus.com/inward/record.url?scp=22044455320&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=22044455320&partnerID=8YFLogxK

U2 - 10.1016/j.jvs.2005.03.056

DO - 10.1016/j.jvs.2005.03.056

M3 - Article

C2 - 16012449

AN - SCOPUS:22044455320

VL - 42

SP - 35

EP - 39

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

SN - 0741-5214

IS - 1

ER -