Arm Veins for Peripheral Arterial Reconstruction
- 1 November 1976
- journal article
- case report
- Published by American Medical Association (AMA)
- Vol. 111 (11), 1276-1280
- https://doi.org/10.1001/archsurg.1976.01360290110017
Abstract
• The ipsilateral saphenous vein has become accepted as the best available material for femoropopliteal bypass and for arterial patch grafts as well as for visceral and cardiac bypasses. However, in a few patients, nonavailability or nonsuitability of the saphenous vein forces use of some other material. We report an experience with 32 operations using arm veins. Among the 11 long vein grafts, seven composite vein-Dacron or vein-vein grafts, and 14 vein patch grafts during the past six years, there were no infections or aneurysms and only nine thrombotic failures have been detected to date, to our knowledge. Our present indications are (1) ipsilateral saphenous vein is not available or is not suitable, (2) only a short graft or patch is needed and the saphenous vein may therefore be saved for the future, (3) to join to a saphenous graft or to a Dacron composite graft for additional length, and (4) to reconstruct an arm artery. Our experiences using cephalic and basilic veins confirms them as a useful source of autogenous material for arterial reconstruction. (Arch Surg 111:1276-1280, 1976)Keywords
This publication has 3 references indexed in Scilit:
- The Cephalic and Basilic Veins in Peripheral Arterial Reconstructive SurgeryAnnals of Surgery, 1972
- Surgically Created Arteriovenous Fistula to Augment the Cephalic Vein: Use as an Arterial Bypass GraftNew England Journal of Medicine, 1971
- The Use of the Cephalic and Basilic Veins as Peripheral Vascular GraftsAnz Journal of Surgery, 1970