Venous reconstructions using the superficial femoral–popliteal vein

Purpose: To demonstrate the feasibility of venous reconstructions with the superficial femoral–popliteal vein (SFPV). Methods: Seven patients who underwent a variety of major venous reconstructions using SFPV were reviewed in a retrospective, observational study. Results: Three central venous recons...

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Veröffentlicht in:Journal of vascular surgery 1997-11, Vol.26 (5), p.829-837
Hauptverfasser: Hagino, Ryan T., Bengtson, Todd D., Fosdick, David A., Valentine, R.James, Clagett, G.Patrick
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container_end_page 837
container_issue 5
container_start_page 829
container_title Journal of vascular surgery
container_volume 26
creator Hagino, Ryan T.
Bengtson, Todd D.
Fosdick, David A.
Valentine, R.James
Clagett, G.Patrick
description Purpose: To demonstrate the feasibility of venous reconstructions with the superficial femoral–popliteal vein (SFPV). Methods: Seven patients who underwent a variety of major venous reconstructions using SFPV were reviewed in a retrospective, observational study. Results: Three central venous reconstructions (thoracic and abdominal) and four peripheral major venous reconstructions were performed with SFPV autografts. In all patients, the SFPV grafts provided an excellent size match and were of adequate length without the need for enlargement by paneling or spiraling techniques. Postoperative anticoagulation medication was not used. There were no early graft failures, and patency was documented by duplex ultrasound, venogram, or both in all patients at a mean of 20 months follow-up. Venous thromboembolism has not occurred, and lower extremity venous morbidity has been minimal. Conclusions: The SFPV graft demonstrates versatility and durability in selected patients who require large-caliber conduits for venous reconstruction. Because of its size and availability, the SFPV is an excellent conduit for major venous reconstruction. (J Vasc Surg 1997;26:829-37.)
doi_str_mv 10.1016/S0741-5214(97)70097-1
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Methods: Seven patients who underwent a variety of major venous reconstructions using SFPV were reviewed in a retrospective, observational study. Results: Three central venous reconstructions (thoracic and abdominal) and four peripheral major venous reconstructions were performed with SFPV autografts. In all patients, the SFPV grafts provided an excellent size match and were of adequate length without the need for enlargement by paneling or spiraling techniques. Postoperative anticoagulation medication was not used. There were no early graft failures, and patency was documented by duplex ultrasound, venogram, or both in all patients at a mean of 20 months follow-up. Venous thromboembolism has not occurred, and lower extremity venous morbidity has been minimal. Conclusions: The SFPV graft demonstrates versatility and durability in selected patients who require large-caliber conduits for venous reconstruction. 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Graft diseases</subject><subject>Transplantation, Autologous</subject><subject>Vascular Patency</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Transplantation, Autologous</topic><topic>Vascular Patency</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Vascular Surgical Procedures - methods</topic><topic>Venae Cavae - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hagino, Ryan T.</creatorcontrib><creatorcontrib>Bengtson, Todd D.</creatorcontrib><creatorcontrib>Fosdick, David A.</creatorcontrib><creatorcontrib>Valentine, R.James</creatorcontrib><creatorcontrib>Clagett, G.Patrick</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hagino, Ryan T.</au><au>Bengtson, Todd D.</au><au>Fosdick, David A.</au><au>Valentine, R.James</au><au>Clagett, G.Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Venous reconstructions using the superficial femoral–popliteal vein</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1997-11-01</date><risdate>1997</risdate><volume>26</volume><issue>5</issue><spage>829</spage><epage>837</epage><pages>829-837</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>Purpose: To demonstrate the feasibility of venous reconstructions with the superficial femoral–popliteal vein (SFPV). 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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Biological and medical sciences
Brachiocephalic Veins - surgery
Child
Female
Femoral Vein - surgery
Femoral Vein - transplantation
Humans
Jugular Veins - surgery
Male
Medical sciences
Middle Aged
Popliteal Vein - transplantation
Postoperative Complications
Retrospective Studies
Subclavian Vein - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Transplantation, Autologous
Vascular Patency
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular Surgical Procedures - methods
Venae Cavae - surgery
title Venous reconstructions using the superficial femoral–popliteal vein
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