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James D. Balshi, MD; Nancy L. Cantelmo, MD; James O. Menzoian, MD; Frank W. LoGerfo, MD

Arch Surg. 1989;124(9):1078-1081.

Abstract
• Thirty-six infrainguinal bypass grafts were performed in 33 patients with the use of autologous arm vein. Indications for operation were ischemic rest pain or tissue loss in all patients. The average age of the patients was 70.0 years—27% were diabetic and 66% were smokers. Sixty-five percent of the grafts were performed as secondary reconstructions. Followup ranged from three weeks to six years, with a mean of 12.1 months. Life-table primary and secondary patencies for all grafts are 73% and 82% at one year, respectively. Simple (noncomposite) arm vein grafts had primary and secondary patencies of 75% and 85%, respectively. The limb salvage rate was 86%. No grafts required thrombectomy for early occlusion (30 days), and no graft failures have occurred beyond nine months (n = 18). Arm vein bypass grafts demonstrate excellent patency rates and provide the preferred conduit in the absence of autologous saphenous vein.

(Arch Surg 1989;124:1078-1081)

Author Affiliations
From the Section of Vascular Surgery, Department of Surgery, Boston University School of Medicine.

Footnotes
Accepted for publication Sept 1, 1988.

Presented at the 14th Annual Meeting of the New England Society for Vascular Surgery, Bretton Woods, NH, Sept 10, 1987.

Reprint requests to Boston Veterans Administration Medical Center (112), 150 S Huntington Ave, Boston, MA 02130 (Dr Cantelmo).

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