PMID: 8443642Feb 1, 1993Paper

Prospective randomized comparison of in situ and reversed infrapopliteal vein grafts

The British Journal of Surgery
P L HarrisD J Moore

Abstract

A three-centre prospective randomized trial was undertaken to compare the efficacy of in situ and reversed saphenous vein grafts for long bypasses to tibial and peroneal arteries. Of 162 patients entered into the study, 82 received an in situ graft and 80 a reversed vein graft. All operations were for limb salvage and the two groups of patients were well matched for age, sex, incidence of diabetes, smoking habits and coronary artery disease. At a maximum follow-up of 3 years there were 48 primary graft failures: 19 in the in situ group and 29 in the reversed vein group. Of these, three in situ grafts and seven reversed grafts were salvaged by secondary intervention. Secondary cumulative patency rates calculated at 3 years after operation were 68 and 66 per cent respectively for in situ and reversed grafts (P not significant). Cumulative limb salvage rates were 78 per cent for in situ grafts and 87 per cent for reversed grafts (P not significant). Separate analysis of a subgroup with small veins (< or = 3.5 mm minimum diameter) showed cumulative patency rates at 2 years of 74 per cent for in situ grafts and 60 per cent for reversed grafts (P not significant). These results indicate that for veins > 3.5 mm in diameter the in situ...Continue Reading

References

Apr 1, 1990·European Journal of Vascular Surgery·P MoodyP L Harris
Feb 1, 1989·European Journal of Vascular Surgery·J D BeardM Horrocks
Aug 1, 1988·The British Journal of Surgery·M J GriggJ H Wolfe
Jul 1, 1985·Journal of Vascular Surgery·F J VeithR H Samson
Mar 1, 1984·The British Journal of Surgery·D J Cave-BigleyP L Harris

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Citations

Nov 30, 1999·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·V S Sottiurai
Dec 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·J GolledgeI F Lane
Aug 6, 1998·The British Journal of Surgery·R D SayersJ H Miller
Jan 28, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dimitrios K TsetisNicholas C Gourtsoyiannis
Nov 26, 1997·Lancet·J Golledge
Aug 16, 2014·The International Journal of Lower Extremity Wounds·Rachael O ForsytheRobert J Hinchliffe
May 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J GolledgeA H Davies
Aug 29, 2012·Circulation·David Paul Slovut, Evan C Lipsitz
Feb 2, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ehrin J ArmstrongCraig M Walker

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