Cryopreserved saphenous vein as a last-ditch conduit for limb salvage

Journal of Vascular Surgery
Leigh Ann O'BanionJade S Hiramoto

Abstract

In patients lacking autogenous vein suitable for infrainguinal bypass, cryopreserved saphenous vein (CSV) allograft (CryoLife, Inc, Kennesaw, Ga) may be an acceptable alternative. The purpose of this study was to examine outcomes of CSV conduit for infrainguinal revascularization. Between February 2008 and August 2015, 70 patients underwent infrainguinal bypass grafts in 73 limbs using CSV. All patients lacked suitable arm or leg vein. Demographic data and patient outcomes were retrospectively collected using electronic medical records. The mean age of our cohort was 70 ± 14 years, and 36 (51%) were male; 47 (67%) were white, 39 (56%) had coronary artery disease, 27 (39%) had diabetes, 56 (80%) had hypertension, and 50 (71%) were former or current smokers. Median follow-up was 304 days (interquartile range, 130-991 days). Indications for the index operation included rest pain (27%), tissue loss (55%), and prosthetic graft infection (18%); 62 of 73 (85%) bypasses were performed for critical limb ischemia, and 45 of 73 (62%) were redo operations. Distal targets included superficial femoral artery or popliteal (38%), tibial (55%), and pedal (7%). All grafts had a minimum diameter of 3 mm. At 30 days, 55 of 64 grafts (86%) were pat...Continue Reading

Citations

Jun 4, 2020·Vascular and Endovascular Surgery·Kuldeep SinghJonathan Deitch
Dec 7, 2018·Frontiers in Pharmacology·Hannah A StrobelMarsha W Rolle
Oct 10, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tanner I KimPeter A Schneider
Feb 10, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Nabil ChakféAnders Wanhainen
Feb 10, 2019·Journal of Vascular Surgery·Courtney L FurloughMark K Eskandari

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