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The Basilic Vein: An Alternative Conduit for Complex Iliofemoral Reconstruction.
MedLine Citation:
PMID:  22264425     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate the basilic vein as an alternative conduit in iliofemoral arterial reconstructions. DESIGN: Retrospective cohort study. METHODS: We reviewed records of all patients undergoing iliofemoral arterial reconstruction with basilic vein between January 2006 and November 2011. Patients were identified via a prospective database, which also provided data on patients' comorbidity, indications for surgery and perioperative outcome. Long term outcome was confirmed by reviewing hospital records; graft patency was confirmed by clinical examination and imaging by ultrasound or CT angiography. RESULTS: We identified 15 patients undergoing 17 procedures (two patients underwent staged bilateral iliofemoral bypasses). Indications for vein (instead of prosthetic) graft use included prosthetic infection (4), suspected infection (2), proven hypercoagulable state (3), young age (3) and multiple graft occlusions (5). Preoperative mapping confirmed vein suitability in all cases, and all conduits were harvested from the upper limb. There were no major perioperative complications. After a median (range) follow up of 21.5 (1-42) months, all grafts were patent; one patient required secondary intervention on the graft. CONCLUSION: Iliofemoral arterial reconstruction with autologous basilic vein is feasible and may be a valid alternative when the use of prosthetic material is contraindicated.
Authors:
T Spahos; F Torella
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-18
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  -     ISSN:  1532-2165     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Vascular Surgery, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK.
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