Heparin-bonded ePTFE grafts compared with vein grafts in femoropopliteal and femorocrural bypasses: 1- and 2-year results

Daenens et al. 20091

University Hospital Gasthuisberg, Belgium

Primary patency of GORE® PROPATEN® Vascular Graft

N=57
1 year 92%
2 years 83%
N=86
1 year 92%
2 years 83%
N=97
1 year 79%
2 years 69%

Patient characteristics

Characteristic N %
Rutherford classification  
3 63 26%
4 60 25%
5 84 35%
6 17 7%
Smokers 149 62%
BK fem-pop 57 37%
Infrapopliteal 97 63%
TP trunk 10 10%
Anterior tibial 37 38%
Posterior tibial 29 30%
Peroneal 21 22%

Study details

  • Retrospective, non-randomized, single-center study
  • Compared results from GORE® PROPATEN® Vascular Graft to autologous vein bypasses
  • Adjunctive techniques:
    • Below-knee fem-pop: 2 Miller cuff, 2 Taylor patch, 2 Linton patch
    • Below-knee fem-distal: 11 Miller cuff, 3 Taylor patch, 7 Linton patch, 15 AV fistula
  • The 2-year limb salvage rates for below-knee fem-pop and fem-distal bypasses were 98% and 87%, respectively
  • 2-year autologous vein patency rates for below-knee fem-pop and fem-distal were 72% and 64%, respectively
  • The 1 and 2 year primary patency rates for above-knee fem-pop bypasses using autologous vein were 91% and 80%, respectively

In this large retrospective study, heparin-bonded ePTFE grafts had 1- and 2-year primary patency results that were not significantly different from those for ASV grafts. Results in BK FP and FC applications were especially promising. — K. Daenens

Overall, our results...provide solid additional evidence that heparin-bonded ePTFE grafts represent an important new option in the treatment of peripheral arterial disease. — K. Daenens

1. Daenens K, Schepers S, Fourneau I, Houthoofd S, Nevelsteen A.  Heparin-bonded ePTFE grafts compared with vein grafts in femoropopliteal and femorocrural bypasses: 1- and 2-year results.  Journal of Vascular Surgery 2009;49(5):1210-1216.

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