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Late Failure of Arterialized in Situ Saphenous Vein
Hendrick B. Barner, MD;
Donald R. Judd, MD;
George C. Kaiser, MD;
Vallee L. Willman, MD;
C. Rollins Hanlon, MD
AMA Arch Surg. 1969;99(6):781-786.
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Occlusive disease of the femoropopliteal artery is now commonly treated with an autogenous, saphenous vein bypass graft. Excision and reversal of the vein has been the most frequently employed technique. An alternative method first described by Rob,1 utilizing the in situ, nonreversed saphenous vein, has yielded satisfactory results.
To evaluate possible advantages,2 we used the in situ saphenous vein for femoropopliteal arterial reconstruction in 25 instances. This is a report of the results of these 25 arterial reconstructions which are compared with 25 similar reconstructions using reversed saphenous vein.
Methods
Fifty consecutive femoropopliteal arterial reconstructions were performed from August 1965 to January 1968. In situ grafts were used from November 1965 to May 1967. There was patient selection in that initially there was higher enthusiasm for use of the in situ saphenous vein. Average age in the "in situ group" was 67 (range of 51 to 81 years)
. . . [Full Text PDF of this Article]
Author Affiliations
St. Louis
From the departments of surgery, St. Louis University and John Cochran Veterans Administration Hospital, St. Louis.
Footnotes
Submitted for publication Aug 5, 1969.
Read before the 17th scientific meeting of the North American Chapter of the International Cardiovascular Society, New York, July 12, 1969.
Reprint requests to Department of Surgery, St. Louis University, St. Louis 63104 (Dr. Barner).
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