Reinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review.

Hdl Handle:
http://hdl.handle.net/10147/304785
Title:
Reinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review.
Authors:
Hynes, Niamh; Mahendran, Bhasakarapandian; Tawfik, Sherif; Sultan, Sherif
Affiliation:
Department of Vascular & Endovascular Surgery, Galway, Clinic, Doughiska, Co. Galway, Ireland.
Citation:
Reinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review., 14 (2):113-8 Vascular
Publisher:
Vascular
Journal:
Vascular
Issue Date:
Mar-2006
URI:
http://hdl.handle.net/10147/304785
PubMed ID:
16956481
Abstract:
Poor rehabilitation rates and the high-cost of managing postamputation patients justify an aggressive revascularization policy in critical lower limb ischemia. Endovascular therapy is our first choice for limb salvage in these patients. However there are patients for whom endovascular therapy is not feasible. When bypass is necessary, autologous vein is a superior conduit to synthetic material. However, varicosities usually contraindicate autologous vein bypass because of the risk of aneurysm formation, rupture and increased intimal hyperplasia compared with nonvaricose venous grafts. We report the use of varicosed long saphenous vein (LSV) with external Dacron support in infrainguinal bypass procedures for limb salvage, where endovascular therapy was not feasible. The external Dacron tube was not brought close to the distal anastomotic area itself. With a mean follow-up of 18 months, duplex ultrasonography and computed tomography angiography showed no evidence of stenosis of the reinforced vein segments or aneurysmal degeneration of the residual vein. External reinforcement with Dacron prosthesis allows the use of autogenous greater saphenous veins with varicose dilatation without compromising graft patency and limb salvage.
Item Type:
Article
Language:
en
MeSH:
Aged; Blood Vessel Prosthesis Implantation; Female; Femoral Artery; Humans; Inguinal Canal; Ischemia; Leg; Limb Salvage; Male; Middle Aged; Popliteal Artery; Saphenous Vein; Stents; Vascular Patency
ISSN:
1708-5381

Full metadata record

DC FieldValue Language
dc.contributor.authorHynes, Niamhen_GB
dc.contributor.authorMahendran, Bhasakarapandianen_GB
dc.contributor.authorTawfik, Sherifen_GB
dc.contributor.authorSultan, Sherifen_GB
dc.date.accessioned2013-10-30T14:34:57Z-
dc.date.available2013-10-30T14:34:57Z-
dc.date.issued2006-03-
dc.identifier.citationReinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review., 14 (2):113-8 Vascularen_GB
dc.identifier.issn1708-5381-
dc.identifier.pmid16956481-
dc.identifier.urihttp://hdl.handle.net/10147/304785-
dc.description.abstractPoor rehabilitation rates and the high-cost of managing postamputation patients justify an aggressive revascularization policy in critical lower limb ischemia. Endovascular therapy is our first choice for limb salvage in these patients. However there are patients for whom endovascular therapy is not feasible. When bypass is necessary, autologous vein is a superior conduit to synthetic material. However, varicosities usually contraindicate autologous vein bypass because of the risk of aneurysm formation, rupture and increased intimal hyperplasia compared with nonvaricose venous grafts. We report the use of varicosed long saphenous vein (LSV) with external Dacron support in infrainguinal bypass procedures for limb salvage, where endovascular therapy was not feasible. The external Dacron tube was not brought close to the distal anastomotic area itself. With a mean follow-up of 18 months, duplex ultrasonography and computed tomography angiography showed no evidence of stenosis of the reinforced vein segments or aneurysmal degeneration of the residual vein. External reinforcement with Dacron prosthesis allows the use of autogenous greater saphenous veins with varicose dilatation without compromising graft patency and limb salvage.en_GB
dc.language.isoenen
dc.publisherVascularen_GB
dc.rightsArchived with thanks to Vascularen_GB
dc.subject.meshAged-
dc.subject.meshBlood Vessel Prosthesis Implantation-
dc.subject.meshFemale-
dc.subject.meshFemoral Artery-
dc.subject.meshHumans-
dc.subject.meshInguinal Canal-
dc.subject.meshIschemia-
dc.subject.meshLeg-
dc.subject.meshLimb Salvage-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPopliteal Artery-
dc.subject.meshSaphenous Vein-
dc.subject.meshStents-
dc.subject.meshVascular Patency-
dc.titleReinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Vascular & Endovascular Surgery, Galway, Clinic, Doughiska, Co. Galway, Ireland.en_GB
dc.identifier.journalVascularen_GB
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen

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