PMID: 3773125Nov 1, 1986Paper

Arm veins for arterial revascularization of the leg: arteriographic and clinical observations

Journal of Vascular Surgery
G AndrosR Apyan

Abstract

The results of 160 infrainguinal bypasses with arm vein grafts were analyzed. Seventy-three arteriograms were reviewed to identify early and late graft defects; arteriographic findings paralleled those described for saphenous vein grafts. Intimal fibrosis during the first postoperative year, observed in 16 grafts, was the most common defect. Aneurysmosis and elongation were rare, resulting in two graft replacements. Patency and limb salvage rates were calculated for 88 single-length femorodistal bypass grafts; the other 72 were inflow (eight) or outflow (22) jump grafts, sequential (eight) and composite autogenous vein grafts (34). The primary and secondary patency rates for single-length grafts were 74% and 80% at 1 year and 51% and 57% at 5 years, respectively. The limb salvage rate at 5 years was 82%. The survival rate for all patients was 44% at 5 years. These findings reconfirm our use of arm veins as bypass grafts when the saphenous vein is unavailable.

References

Dec 1, 1979·Annals of Surgery·D R CampbellG W Gibbons
May 1, 1986·Journal of Vascular Surgery·S X Salles-CunhaR W Oblath
Dec 1, 1984·Annals of Surgery·R W HarrisR Apyan
Jan 1, 1981·Annals of Surgery·A D WhittemoreJ A Mannick

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Citations

Mar 6, 2003·Journal of Vascular Surgery·Mark R NehlerLloyd M Taylor
Mar 1, 1994·Annals of Vascular Surgery·E F BernsteinM Saeed
Apr 1, 1995·Journal of Vascular Surgery·T J HölzenbeinF W LoGerfo
Jul 5, 2008·Journal of Cardiac Surgery·Yanto Sandy TjangReiner Körfer
Jul 15, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Mehmet Asim OzerOkan Bilge
Jan 14, 2011·Plastic and Reconstructive Surgery·Richard F Neville
Apr 1, 1992·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·A AkoumM F Sigot-Luizard

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