| Venous stasis complications of the use of the superficial femoral and popliteal veins for lower extremity bypass. | |
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MedLine Citation:
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PMID: 8505778 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The widely accepted durability of autogenous vein for infrainguinal arterial bypass has led the authors to use the superficial femoral and popliteal vein in selected cases. The results of this experience are presented. METHODS: From January through December 1991, during which 92 lower extremity bypass procedures were performed, deep vein bypass was attempted in seven patients (three femoral-popliteal grafts, two femoral-peroneal grafts, one femoral-deep femoral bypass, and one popliteal-posterior tibial bypass). In all cases the saphenous vein was absent or inadequate for use as a bypass conduit. The superficial femoral vein was harvested to below the knee in five patients. RESULTS: At last follow-up six of seven patients had patent grafts with relief of their original symptoms. All the procedures were complicated by venous stasis; acute postoperative phlegmasia developed in two cases. In one of these cases the limb was salvaged by below-knee fasciotomy and deep venous bypass (distal popliteal vein to common femoral vein with polytetrafluoroethylene). In the other case an above-knee amputation was required. Of the five remaining patients three had moderate venous stasis edema unresponsive to limb elevation and compression stockings after operation, and two have had resolution of minimal postoperative venous stasis with simple limb elevation. All cases of severe and moderate venous stasis occurred in patients with popliteal vein harvest to below the knee. CONCLUSIONS: The authors conclude that the use of the deep veins of the lower extremity for bypass is effective but is associated with a significant increase incidence of venous stasis edema. Two instances of phlegmasia were associated with popliteal vein harvest below the knee, and the authors caution against harvest of the popliteal vein to this level. |
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Authors:
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M Coburn; C Ashworth; W Francis; C Morin; M Broukhim; W I Carney |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 17 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 1993 Jun |
Date Detail:
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Created Date: 1993-07-02 Completed Date: 1993-07-02 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1005-8; discussion 1008-9 Citation Subset: IM |
Affiliation:
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Rhode Island Hospital, Vascular Surgery Service, Brown University School of Medicine, Providence. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Edema / etiology Female Femoral Vein / transplantation* Humans Leg / blood supply*, surgery Male Middle Aged Popliteal Vein / transplantation* Postoperative Complications* Thrombophlebitis / etiology Treatment Outcome Vascular Surgical Procedures / methods Venous Insufficiency / etiology* |
| Comments/Corrections | |
Comment In:
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J Vasc Surg. 1994 Apr;19(4):759-60
[PMID:
8164293
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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