Nine year patent femorotibial expanded polytetrafluoroethylene graft bypass

A 65-year-old patient with a trophic lesion and severe intermittent claudication in the right lower extremity was surgically treated by femoro-distal-tibial bypass employing a prosthetic 6 mm diameter PTFE (Gore-Tex) graft. It is still patent nine years later as shown by a follow-up arteriogram. The patient's trophic lesion disappeared, and there are presently no symptoms of intermittent claudication. When arterial revascularization in the leg is indicated, an option to a saphenous vein graft for long bypass is the use of a PTFE graft.