Document Detail


Superficial femoral-popliteal vein as a conduit for brachiocephalic arterial reconstructions.
MedLine Citation:
PMID:  11904799     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Revascularization of brachiocephalic arteries with prosthetic graft offers excellent patency for most reconstructions. For complex brachiocephalic reconstructions, such as redo operations or reconstructions for infection, autogenous conduit may be preferable. Occasionally saphenous vein is inadequate or absent. The purpose of this study was to evaluate the indications and intermediate-term outcomes of superficial femoral-popliteal vein (SFPV) as an alternative conduit for brachiocephalic reconstructions. Over a 6-year period, 71 patients underwent carotid, subclavian, or axillary artery bypass. In 18 (25%) of these reconstruction SFPV was used as the conduit. Ten bypasses (55%) were redo operations. Three bypasses (17%) were performed after failed prosthetic grafts. Three grafts (17%) were required in infected patients. Indications for the use of SFPV included inadequate saphenous vein (n = 13), infection (n = 3), and failed prosthetic bypass (n = 3). Thirty-day mortality was 5.5%. The neurologic event rate was 5.5%. During a mean follow-up of 26 +/- 5 months, there were no graft thromboses or graft infections. Revision-free primary patency was 92% at 48 months. Assisted primary patency was 100%. These data suggest that SFPV is a safe, durable conduit for brachiocephalic reconstructions. SFPV yielded excellent results for a disadvantaged patient population.
Authors:
J Gregory Modrall; Donald R Joiner; Scott A Seidel; Mark R Jackson; R James Valentine; G Patrick Clagett
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Publication Detail:
Type:  Journal Article     Date:  2002-01-17
Journal Detail:
Title:  Annals of vascular surgery     Volume:  16     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-03-25     Completed Date:  2002-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  17-23     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75390-9157, USA. greg.modrall@utsouthwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  methods*
Brachiocephalic Trunk / surgery*
Female
Femoral Vein / transplantation*
Graft Occlusion, Vascular / etiology,  surgery
Humans
Male
Middle Aged
Popliteal Vein / transplantation*
Time Factors
Treatment Outcome
Vascular Diseases / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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