Bypass to the tibial and peroneal arteries using the great saphenous vein in situ

Vascular Surgery
H RostadB Rostad

Abstract

In 22 patients with extensive atherosclerotic disease of the lower extremities 24 long bypasses have been performed. The main indications for surgery were rest pain and imminent or manifest gangrene. The semiclosed in situ vein technique was used in all except one case. Five grafts thrombosed within 2 weeks postoperatively, one of them was successfully reopened. At discharge 20 grafts were patent, and most of the patients had relief of their ischemic symptoms. After 5 years 26% of the long vein grafts were patent. In comparison, almost 70% of in situ femoro-popliteal vein grafts were patent. One patient is still living with an open long vein graft 14 years after surgery. The in situ vein technique is especially suited for long bypasses. The poorer results in the present series is probably due to an extremely advanced atherosclerotic disease and a high percent of small fibrotic veins with a diameter of 3 mm or less.

References

Jun 1, 1976·Annals of Surgery·W H Edwards, R S Wright
Mar 1, 1976·Archives of Surgery·M StephenR Sheil
Jan 1, 1973·Scandinavian Journal of Thoracic and Cardiovascular Surgery·E Skagseth, K V Hall
Dec 1, 1969·Archives of Surgery·G P NoonM E DeBakey

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Citations

Aug 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·D RosenthalM D Clark
May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nomdo S RenkenLukas C van Dijk
Mar 12, 2021·Vascular·Daniele AdamiMauro Ferrari

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