Deep Veins of the Leg as Femoropopliteal Bypass Grafts

Schulman, Martin L.; Badhey, Mohan Rao

doi:10.1001/archsurg.1981.01380210025005

Cited by 29 publications

(8 citation statements)

References 5 publications

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“…Care is taken to achieve flush ligation at the profunda-common femoral vein confluence so as not to leave a cul-de-sac that could serve as a nidus for DVT and pulmonary embolism. 13,14 Creating pantaloon graft…”

Section: Incisionmentioning

confidence: 99%

“…By gentle inflation with heparinized saline from a 20-mL syringe and engagement with a Tibbs cannula, uniform dilation is achieved, the direction of valves is identified, and any point of leak is repaired with Prolene 6-0 or 7-0 (01:12-01:22 and 02:40-02:46; Fig 2, c). Other described techniques of utilization of (Fig 1) need valve excision by eversion, 6,7,14 in contrast to the pantaloon graft, which is prepared with reverse vein graft, and valve excision is not required. Veins are spatulated on one end up to 3 cm (01:23-01:40) and sutured together in a V fashion with running 5-0 Prolene suture starting from the apex of the posterior vein valves going down to the crotch of the graft and returning to the anterior apex (01:56-02:38).…”

Section: Incisionmentioning

confidence: 99%

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Pantaloon femoral vein graft as “neoaorta” in infected aortic disease

Verma

Satish

Tripathi

2015

Journal of Vascular Surgery

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Infected abdominal aortic disease and graft infections pose a significant challenge for the vascular surgeon. Thorough radical débridement, either preceded by extra-anatomic bypass or followed by in situ aortic replacement, is the mainstay of treatment. The role of endovascular repair by stent grafts is being increasingly described but is limited to relatively less virulent mycotic aneurysms or as a "bridging" option in sick patients with florid sepsis that necessitates eventual delayed definitive surgical management. Autologous femoral vein has been an excellent conduit for aortic bifurcation reconstruction in this setting. Although various configurations of femoral vein conduit have been described for aortobi-iliac reconstruction, an in-depth knowledge of the venous anatomy, physiology, mechanisms of "profundization," and techniques of harvest and graft preparation is essential for efficient conduct of the operation and its optimal outcomes. We review in detail these aspects of "pantaloon" femoral vein graft creation as a "neoaorta".

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Section: Incisionmentioning

confidence: 99%

Section: Incisionmentioning

confidence: 99%

Pantaloon femoral vein graft as “neoaorta” in infected aortic disease

Verma

Satish

Tripathi

2015

Journal of Vascular Surgery

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“…Consequently, both legs may require harvesting, which significantly prolongs the procedure. Also, the removal of the main venous trunks can lead to the chronic venous stasis 10 11. However, clinically this rarely causes a significant problem and more importantly, patients seem to well-tolerate FPV excision 1 2…”

Section: Descriptionmentioning

confidence: 99%

Reconstruction with the use of autologous femoropopliteal veins for an infected aortobifemoral bypass graft

2013

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“…21 Schulman's group published further data in 1987 with 5-year primary and secondary patency rates of 82% and 90% in 97 limbs. 22 Wozniak et al have recently reported an experience with composite polytetratluoroethvlene (PTFE) and superficial femoral vein grafts in 32 patients (20 men and 12 women) undergoing limb-salvage procedures.23 The mean length of superficial femoral vein removed was 13.2 cm.…”

Section: Femoral Popliteal Occlusive Diseasementioning

confidence: 99%

The Superficial Femoral-Popliteal Vein Graft: A Reliable Conduit for Large-Caliber Arterial and Venous Reconstructions

Seidel¹,

Modrall²,

Jackson³

et al. 2001

Perspectives in Vascular Surgery and Endovascular Therapy

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Vascular surgeons are increasingly called upon to perform arterial reconstructions in patients who have unusable or absent saphenous veins forcing consideration of alternative conduits. Although prosthetic grafts have excellent performance when used as bypasses involving the aorta and its branches, there are clearly circumstances in which autogenous conduits are preferable. The superficial femoral popliteal vein (SFPV) has proven to be an outstanding alternative in these situations. Although the SFPV was originally used at our institution for the treatment of aortic graft infections, the success of reconstructions for this indication has led us to utilize the SFPV conduit in many other situations. The SFPV has proven to be superior to prosthetic grafts for infrainguinal limb salvage procedures and for hemodialysis access in certain situations. In addition, the SFPV appears to be the conduit of choice for use in infected fields of all types and for large caliber venous reconstructions. The purpose of this article is to review the use of the SFPV conduit in creation of the neoaortoiliac system (NAIS), update our results, and survey alternative uses for this versatile conduit. We also address the technical details of its harvest and implantation technique.

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Deep Veins of the Leg as Femoropopliteal Bypass Grafts

Cited by 29 publications

References 5 publications

Pantaloon femoral vein graft as “neoaorta” in infected aortic disease

Pantaloon femoral vein graft as “neoaorta” in infected aortic disease

Reconstruction with the use of autologous femoropopliteal veins for an infected aortobifemoral bypass graft

The Superficial Femoral-Popliteal Vein Graft: A Reliable Conduit for Large-Caliber Arterial and Venous Reconstructions

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