Autogenous reversed vein bypass for lower extremity ischemia in patients with absent or inadequate greater saphenous vein

Lloyd M. Taylor, James M. Edwards, Bolek Brant, Edward S. Phinney, John M. Porter

Research output: Contribution to journalArticle

74 Scopus citations

Abstract

This report has presented the results of 329 reversed vein bypasses performed for lower extremity ischemia over a 6 3 4 year period. One hundred eighty-nine bypasses were formed from intact ipsilateral greater saphenous veins of adequate size and length. One hundred forty bypasses were formed in patients in whom the ipsilateral greater saphenous vein was absent or of inadequate size or length to complete the bypass. The grafts in these patients were accomplished using a variety of techniques including distal graft origin, use of arm veins and lesser saphenous veins, and use of vein splicing. The patency rates of these grafts were equivalent to those achieved using adequate intact ipsilateral greater saphenous vein. In view of these results, we conclude that the absence of a greater saphenous vein does not preclude successful autogenous lower extremity vein bypass and that prosthetic bypass is rarely justified.

Original languageEnglish (US)
Pages (from-to)505-510
Number of pages6
JournalThe American Journal of Surgery
Volume153
Issue number5
DOIs
StatePublished - May 1987
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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