Composite Grafts for Limb Salvage

  • John B. Chang
  • Theodore A. Stein


Progressive peripheral arterial occlusive disease of the lower extremity leads to inadequate blood flow for the delivery of nutrients to the distal leg. If left untreated, ulceration and gangrene can occur. Limbs are amputated to prevent sepsis and the loss of life. Revascularization of the occluded arterial system can provide sufficient blood flow to salvage limbs destined for failure. After arterial reconstruction, nearly one half of these patients feel better and return to a near normal level of activity.1 Preservation of the lower extremity requires identifying the sites of occlusion, determining the adequacy of distal perfusion, and planning arterial reconstruction. To bypass the occluded segment, various materials have been used for grafts to increase blood flow to patent vessels. Autogenous veins, synthetic materials such as poly-tetrafluoroethylene (PTFE), and composites of vein and PTFE have been used for femoropopliteal and femorotibial bypass grafts.2-5


Vein Graft Patency Rate Limb Salvage Popliteal Artery Superficial Femoral Artery 
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© Springer Science+Business Media New York 2000

Authors and Affiliations

  • John B. Chang
  • Theodore A. Stein

There are no affiliations available

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