Reinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review.
AffiliationDepartment of Vascular & Endovascular Surgery, Galway, Clinic, Doughiska, Co. Galway, Ireland.
Blood Vessel Prosthesis Implantation
MetadataShow full item record
CitationReinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review., 14 (2):113-8 Vascular
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.
- Femoropopliteal prosthetic bypass with glutaraldehyde stabilized human umbilical vein (HUV).
- Authors: Neufang A, Espinola-Klein C, Dorweiler B, Messow CM, Schmiedt W, Vahl CF
- Issue date: 2007 Aug
- Outcomes of combined superficial femoral endovascular revascularization and popliteal to distal bypass for patients with tissue loss.
- Authors: Lantis J, Jensen M, Benvenisty A, Mendes D, Gendics C, Todd G
- Issue date: 2008 May-Jun
- Early experience with cryopreserved saphenous vein allografts as a conduit for complex limb-salvage procedures.
- Authors: Walker PJ, Mitchell RS, McFadden PM, James DR, Mehigan JT
- Issue date: 1993 Oct
- Clinical results of autologous infrainguinal revascularization using grafts originating distal to the femoral bifurcation in patients with mild inflow disease.
- Authors: Probst H, Saucy F, Dusmet M, Ris HB, Ducrey N, Haller C, Corpataux JM
- Issue date: 2006 Aug
- Composite sequential grafts for femorocrural bypass reconstruction: experience with a modified technique.
- Authors: Mahmood A, Garnham A, Sintler M, Smith SR, Vohra RK, Simms MH
- Issue date: 2002 Oct