Objectives: To compare end-to-side (ETS) and end-to-end (ETE) distal anastomoses. Design: Retrospective cohort study. Methods: Retrospective cohort study. Between 1988 and 1992, 204 femoropopliteal bypasses (188 patients) were performed for claudication (55%), rest pain (22%) and tissue loss (23%). One hundred and eighteen ETS were compared with 86 ETE in terms of patency or a mean (range) follow-up of 68 (0.5-120) months. Results: Overall patency was 86%, 66% and 57% at 1, 5 and 8 years, respectively. Multivariate analysis showed ETE anastomoses (p=0.04), and also knee bypass (p=0.05) and venous conduit (p=0.004) to be significantly associated with impaired patency. Conclusions: ETE may improve femoropopliteal bypass patency.

Anastomosis, Femoropopliteal bypass, Graft occlusion, Myointimal hyperplasia, Patency
dx.doi.org/10.1053/ejvs.2000.1283, hdl.handle.net/1765/67406
European Journal of Vascular and Endovascular Surgery
Department of Surgery

Hoedt, M.T.C, van Urk, H, Hop, W.C.J, van der Lugt, A, & Wittens, C.H. (2001). A comparison of distal end-to-side and end-to-end anastomoses in femoropopliteal bypasses. European Journal of Vascular and Endovascular Surgery, 21(3), 266–270. doi:10.1053/ejvs.2000.1283