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Method of Reducing the Caliber of Vein Grafts

EVERETT J. SCHMITZ, M.D.; LESTER R. SAUVAGE, M.D.; EDMUND A. KANAR, M.D.; HENRY N. HARKINS, M.D.

AMA Arch Surg. 1953;66(4):461-467.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

VENOUS grafts in the arterial tree have been used extensively in experimental surgery and in a number of instances in clinical work.¹ Veins have the advantage of being readily available and of being autogenous vascular tissue which may be obtained without the sacrifice of vital parts or functions, as is the case with arteries. A vein of proper diameter cannot always be secured, however. The disadvantages of grossly oversized veins are the high incidence of early thrombosis, rupture at the suture lines, and excessive later dilatation. The latter factor is probably related more directly to the musculofascial support of an autogenous vein graft rather than to the graft-aortic disproportion present at the time of implantation.

Carrel² described a method of reducing the caliber of vessels in situ by means of horizontal mattress sutures, which he termed "longitudinal exclusion," but did not, to our knowledge, employ it on free . . . [Full Text PDF of this Article]

Author Affiliations
SEATTLE

From the Department of Surgery, University of Washington School of Medicine.

Footnotes
Read at the Sixtieth Annual Meeting of the Western Surgical Association, Houston, Texas, Dec. 4, 1952.

This work was aided in part by grants from the Division of Research Grants and Fellowships (Project H-1136), National Institutes of Health, Bethesda, Md., and Initiative 171 Research Funds provided by the State of Washington for research in the biological and medical sciences.

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