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Die femoropopliteale Rekonstruktion — Was hat sich in 50 Jahren Bypasschirurgie geändert?

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Läsionen der Becken- und Oberschenkelarterien

Part of the book series: Berliner Gefäßchirurgische Reihe ((BERLINGEFÄß,volume 9))

Abstract

Femoro-popliteal reconstructions are standard procedures in vascular surgery, being performed in clinical stages Fontaine III and IV. Apart from vein grafts, as alloplastic bypass materials mainly ePTFE and Dacron are available. Five-year patency rates of 70–80% are documented for vein bypasses in the femoro-popliteal region; with alloplastic material, patency rates of 60% are reached. Procedures like half-closed ring desobliterations have fulfilled their expectancy. Alternative graft materials (umbilical vein, xenograft) are used sporadically. Even after 50 years of bypass surgery of the femoral region the quest for the ideal bypass material has not ended. Additional conservative as well as pharmacological therapies still contribute to successful treatment of peripheral arterial occlusive disease and are indispensable in secondary prophylaxis. Treatment of the vascular patient ought to occur in interdisciplinary vascular centers.

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Literatur

  1. Abbott WM, Green RM, Matsumoto T et al (1997) Prosthetic above-knee femoropopliteal bypass grafting: results of a multicenter randomized prospective trial. AboveKnee Femoropopliteal Study Group. J Vasc Surg 25:19–28

    Article  PubMed  CAS  Google Scholar 

  2. Aichner F, Brainin M, Eber B, Huber K, Magometschnigg H, Pilger E, Wiedermann Ch (2002) Chronisch-kritische Extremitätenischämie. In: Aichner F: Atherothrombose. Thieme, Stuttgart New York, S 153–159

    Google Scholar 

  3. Alders GJ, Van Vronhoven TJMV (1992) Polyethaflouroethylene versus human umbilical Vein in above-knee femoropopliteal bypass: Six years results of a randomized clinical trial. J Vasc Surg 16:816–825

    Article  Google Scholar 

  4. Allenberg JR, Maeder N, Meybier H (1989) Chronisch arterielle Verschlußkrankheit im Femoralis-Poplitea-Bereich. Chirurg 60:322–329

    PubMed  CAS  Google Scholar 

  5. Archie JP Jr (1994) Femoropopliteal bypass with either adequate ipsilateral reversed saphenous vein or obligatory polytetrafluoroethylene. Ann Vasc Surg 8:475–484

    Article  PubMed  Google Scholar 

  6. Bacourt F (1997) Prospective randomized study of carbon-impregnated polytetrafluoroethylene grafts for below-knee popliteal and distal bypass: results at 2 years. The Association Universitaire de Recherche en Chirurgie. Ann Vasc Surg 11:596–603

    Article  PubMed  CAS  Google Scholar 

  7. Ballotta E, Renon L, Toffano M, Da Giau G (2003) Prospective randomized study on bilateral above-knee femoropopliteal revascularization. J Vasc Surg 38:1051–1055

    Article  PubMed  Google Scholar 

  8. Balzer K, Carstensen G (1982) Für und Wider die Desobliteration der A. femoralis. Zbl. Chirurgie 107:1028–1040

    CAS  Google Scholar 

  9. Barker WF (1982) Zit. in: Bergan JJ und Mitarb: Prosthetic graft for the treatment of lower limb ischaemia: present status. Br J Surg 69 Suppl:34–37

    Article  Google Scholar 

  10. Bartel M, Sellentin W, Wagner W, Marzoll I (1978) Spätergebnisse nach Thrombendarteriektomien im femoropoplitealen Abschnitt (ein Beitrag zur Chirurgie des höheren Lebensalters). Z Alternsforsch 33:401–407

    CAS  Google Scholar 

  11. Baumann G (1974) Die chirurgische Behandlung der chronischen arteriellen Durchblutungsstörung der unteren Extremitäten. Med Klinik 69:965–974

    CAS  Google Scholar 

  12. Böhmig HJ, Polterauer P, Euler-Rolle J (1977) Orthograder freier femoro-popliteo-cruraler Venenbypass. Chirurg 48:671–674

    PubMed  Google Scholar 

  13. Böhmig HJ, Zeidler G, Schwierz Th, Loy E (1995) 20 Jahre orthograder Venenbypass für infrainguinale arterielle Rekonstruktionen. Chirurg 66:120–126

    PubMed  Google Scholar 

  14. Bosiers M, Deloose K, Verbist J, Schroë H, Lauwers G, Lansink W, Peeters P (2006) Heparin-bonded expanded polytetrafluoroethylene vascular graft for femoropopliteal and femorocrural bypass grafting: 1-year results. J Vasc Surg 43:313–319

    Article  PubMed  Google Scholar 

  15. Brunner U (1979) Ergebnisse arterieller Rekonstruktionen im femoro-poplitealen Bereich. In: Bünte A, Rühland D (Hrsg) Chirurgie der Bauch-, Beckenund Beinarterien. Bibliomed, S 61–82

    Google Scholar 

  16. Bürger K, Widera R, Delias G, Teygang A, Stößlein F (1979) Die operative Behandlung von Segmentverschlüssen der A. poplitea und cruraler Arterien unter Verwendung verschiedener Gefäßersatzmaterialien. Zentbl Chir 104:1048–1054

    Google Scholar 

  17. Burger DH, Kappetein AP, Van Bockel JH, Breslau PJ (2000) A prospective randomized trial comparing vein with polytetrafluoroethylene in above-knee femoropopliteal bypass grafting. J Vasc Surg 32:278–283

    Article  PubMed  CAS  Google Scholar 

  18. Cavallaro A, Gallo P, Sciacca V. Garofalo M, Sterpetti A, Stipa S (1983) PTFE Prostheses in leg arteries reconstruction. Vasc Surg 17:269–282

    Google Scholar 

  19. Clagett GP, Sobel M, Jackson MR, Lip GYH, Tangelder M, Verhaegle R (2004) The seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest 126: 609–626

    Article  Google Scholar 

  20. Darling RC, Linton RR (1972) Durability of femoropopliteal reconstructions; endarterectomy versus vein bypass grafts. Am J Surg 123:472–479

    Article  PubMed  CAS  Google Scholar 

  21. Van Det RJ, Bertelink JG, Van Baal JGJM et al (1998) PTFE or Dacron for FemoroPopliteal above Knee Bypass: A Multicenter Randomized Prospektive Trial. Abstract, European Society for Vascular Surgery, 1–4. Oktober, Paris

    Google Scholar 

  22. Devine C, McCollum D (2004) Heparin-bonded Dacron or polytetrafluorethylene for femoropopliteal bypass; five-year results of a prospective randomized clinical trial. J Vasc Surg 40:924–931

    Article  PubMed  Google Scholar 

  23. Domandy JA, Rutherford RB (2000) Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 31: 1–296

    Article  Google Scholar 

  24. Van Dongen RJAM (1981) Chirurgische Therapie arterieller Verschlüsse des femoropoplitealen Bereichs. Freiburger Chirurgengespräch (GÖDECKE), S 85–96

    Google Scholar 

  25. Eickhoff JH, Hansen HJ, Bromme A, Ericson BF et al (1987) Four years results of a prospective, randomized clinical trial comparing polytetraflourethylene and modified human umbilical vein for below-knee femoropopliteal bypass. J Vasc Surg 6:506–511

    Article  PubMed  CAS  Google Scholar 

  26. Eikelboom BC (2000) Efficacy of oral anticoagulants compared with aspirin after infrainguinal bypass surgery: a randomized trial. Lancet 355:346–351

    Article  Google Scholar 

  27. Green RM, Abbott WM, Matsumoto T, Wheeler JR, Miller N, Veith FJ, Money S, Garrett HE (2000) Prosthetic above-knee femoropopliteal bypass grafting; five-year results of a randomized trial. J Vasc Surg 31:417–425

    Article  PubMed  CAS  Google Scholar 

  28. Van der Heijden FH, Eikelboom BC, Banga JD, Mali WP (1993) Management of superficial femoral artery occlusive disease. Br J Surg 80:959–963

    Article  PubMed  Google Scholar 

  29. Hupp T (2001) Der P I-Bypass: Ergebnisse bei Verwendung autologer Vene in: Endovaskuläre versus konventionelle Gefäßchirurgie. Steinkopff, Darmstadt, S 38–40

    Google Scholar 

  30. Illig KA, Green RM (1999) Prosthetic above-knee femoropopliteal bypass. Sem Vasc Surg 12:38–45

    CAS  Google Scholar 

  31. Jackson MR, Belott TP, Dickason T et al (2000) The consequences of a failed femoropopliteal bypass grafting: Comparison of saphenus vein and PTFE Grafts. J Vasc Surg 32:498–505

    Article  PubMed  CAS  Google Scholar 

  32. Klinkert P, Schepers A, Burger DHC, Van Bockel H, Breslau PJ (2003) Vein versus polytetrafluoroethylene in above-knee femoropopliteal bypass grafting; five-year results of a randomized controlled trial. J Vasc Surg 37:149–155

    Article  PubMed  Google Scholar 

  33. Kunlin JL (1949) Le traitement de l’arterite obliterante par la greffe veineuse. Arch Mal Coeur 42:371

    Google Scholar 

  34. Laird JR (2004) Interventional options in the SFA. Endovascular today (Suppl) 10:9–12

    Google Scholar 

  35. Lang W, Schmidt O, Radespiel-Tröger M, Schweiger H (2001) Der supragenuale PTFEBypass. Gefäßchirurgie 6:34–40

    Article  Google Scholar 

  36. Largiadèr J, Schneider E (1995) Endovaskuläre und offene rekonstruktive Behandlung der arteriellen Verschlusskrankheit der unteren Extremität im Stadium der kritischen Ischämie. Chirurg 66:86–92

    PubMed  Google Scholar 

  37. Michaels JA (1989) Choice of material for above-knee femoropopliteal bypass graft. Br J Surg 76:7–14

    Article  PubMed  CAS  Google Scholar 

  38. Moody AP, Edwards PR, Harris PL (1992) In-situ-versus reserved femoro-popliteal vein grafts; long term follow-up of a prospective, randomized trial. Br J Surg 79: 750–752

    Article  PubMed  CAS  Google Scholar 

  39. Neumayer C, Panhofer P, Nanovashvili J, Polterauer P (2005) Therapie des Femoralisverschlusses; Indikation, Technik und Ergebnisse aus Sicht des Gefäßchirurgen. Z Gefässmed 2:4–11

    Google Scholar 

  40. Pevec WC, Darling RC, L’Italien GJ, Abbott WM (1992) Femoropopliteal reconstruction with knitted, nonvelour Dacron versus expanded polytetrafluoroethylene. J Vasc Surg 16:60–65

    Article  PubMed  CAS  Google Scholar 

  41. Polterauer P, Prager M (1993) Techniken des autologen Venenbypasses. Acta Chir Austr 5:336–337

    Article  Google Scholar 

  42. Post S (2001) Prospektive randomisierte Multizenterstudie vs PTFE in der femoropoplitealen Bypasschirurgie in: Endovaskuläre versus konventionelle Gefäßchirurgie. Steinkopff, Darmstadt, S 43

    Google Scholar 

  43. Prager M, Huk I, Kretschmer G, Polterauer P (1993) Der Vena-saphena-magna-Bypass. Acta Chir Austr 5:294–297

    Article  Google Scholar 

  44. Raithel D (1979) Erfahrungen mit Fremdmaterialien in femoro-poplitealer Position. In: Bünte A, Rühland D (Hrsg) Chirurgie der Bauch-, Beckenund Beinarterien. Bibliomed, S 83–92

    Google Scholar 

  45. Reichle FA, Tyson RR (1975) Comparison of long-term results of 364 femoropopliteal or femorotibial bypasses for revascularisation of severely ischemic lower extremities. Ann Surg 182:449–455

    Article  PubMed  CAS  Google Scholar 

  46. Reichle FA, Rankin KP, Tyson RR, Finestone AJ, Shuman Ch (1979) Long-term results of 474 arterial reconstructions for severely ischemic limbs: A fourteen year follow-up. Surgery 85:93–100

    PubMed  CAS  Google Scholar 

  47. Robinson JP, Fletcher P, Tomlinson RDM, Allen SJ, Hazelton AJ, Richerdson, Stuchbery K (1999) A prospektive randomized multicentre comparison of expanded polytetrafluoroethylene and gelatine-sealed knitted Dacron grafts for femoropopliteal bypass. Cardiovascular Surgery Vol 7 No 2:214–218

    Article  PubMed  CAS  Google Scholar 

  48. Romaniuk P, Wierny L, Münster W (1985) Langzeiteffektivität der angioplastischen Therapie iliacaler und femoro-poplitealer Obstruktionen im Vergleich zur Operation. In: Oeser H (Hrsg) Angiologisches Symposium (Berlin), Buchreihe Schering, S 39–49

    Google Scholar 

  49. Schulz U, Laubach K, Saggau W (1976) Thrombendarteriektomie oder Venenbypass bei chronischen femoropoplitealen Verschlüssen. Langenbecks Arch Chir 343:59–67

    Article  PubMed  CAS  Google Scholar 

  50. Stierli P, Eugster T, Hess P, Gürke L (2001) Verschluss der A. femoralis superficialis. Gefäßchirurgie 6:43–46

    Article  Google Scholar 

  51. Taylor LM, Edwards JM, Porter JM (1990) Present status of reversed vein bypass grafting: Five-year results of a modern series. J Vasc Surg 11:193–206

    Article  PubMed  Google Scholar 

  52. Vollmar J (1980) Europatag der Deutschen Gesellschaft für Chirurgie, München. Langenbecks Archiv — Kongressband

    Google Scholar 

  53. Vollmar J (1982) Rekonstruktive Chirugie der Arterien. Thieme, Stuttgart

    Google Scholar 

  54. Wagner W, Barthel M, Clausner G, Schleicher Ch (1989) Langzeitergebnisse nach femoro-poplitealen Gefäßrekonstruktionen. Zentbl Chir 114:157–168

    CAS  Google Scholar 

  55. Watelet PL, Arora S, Pomposelli FB, Pulling MC et al (2000) The use of arm vein in lower-extremity revaskularisation: results of 520 procedures performed in eight years. J Vasc Surg 31:50–59

    Article  Google Scholar 

  56. De Weese JA, Rob CG (1977) Autogenous venous grafts ten years later. Surgery 82: 775–782

    Google Scholar 

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  1. Klinik für vaskuläre und endovaskuläre Chirurgie, DRK-Kliniken Köpenick, Salvador-Allende-Straße 2-8, 12559, Berlin

    Dr. med. M. Naundorf

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  1. Dr. med. M. Naundorf
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    A. Gussmann

  2. Franziskus-Krankenhaus Chirurgische Klinik/Gefäßmedizin, Budapester Straße 15-19, 10787, Berlin

    R. I. RÜckert

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Naundorf, M. (2008). Die femoropopliteale Rekonstruktion — Was hat sich in 50 Jahren Bypasschirurgie geändert?. In: Gussmann, A., RÜckert, R.I. (eds) Läsionen der Becken- und Oberschenkelarterien. Berliner Gefäßchirurgische Reihe, vol 9. Steinkopff. https://doi.org/10.1007/978-3-7985-1717-2_10

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  • DOI: https://doi.org/10.1007/978-3-7985-1717-2_10

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