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The effect of vein diameter on patency of in situ grafts. J Cardiovasc Surg (Torino) 1991 Mar-Apr;32(2):192-6

Date

03/01/1991

Pubmed ID

2019620

Scopus ID

2-s2.0-0025849721   32 Citations

Abstract

In an attempt to evaluate the effect of vein diameter on early patency and long-term durability of in situ lower limb bypasses, we evaluated 195 femoral-distal, popliteal, and/or tibial bypasses constructed in 189 patients (153 men, 36 women), consisting of tibial bypasses in 116 (60%), and popliteal in 79 (40%). The operative angiograms were reviewed and the vein diameter was measured to the nearest 0.5 mm. Postoperative follow-up consisted of visits every three months where graft patency was assessed by physical examination and measurement of graft flow velocity and ankle-brachial indices. Conduits less than 3 mm had a higher rate of occlusion in the 0-30 day interval, but following that period performed satisfactorily. No conduit less than 2 mm was successfully utilized, because of inability to incise valves without injury in these tiny conduits. Following the perioperative period, conduit diameter does not affect the long-term durability of in situ bypass grafts.

Author List

Towne JB, Schmitt DD, Seabrook GR, Bandyk DF

Author

Gary R. Seabrook MD Chief, Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Blood Vessel Prosthesis
Female
Femoral Artery
Humans
Male
Popliteal Artery
Saphenous Vein
Vascular Patency
jenkins-FCD Prod-398 336d56a365602aa89dcc112f077233607d6a5abc