Vein graft stenosis: Incidence and intervention

Wilson, Y.G.; Davies, Alun H.; Currie, I.C.; Morgan, M.; McGrath, Cpj; Baird, R. N.; Lamont, PM

doi:10.1016/s1078-5884(96)80046-3

Cited by 37 publications

(17 citation statements)

References 18 publications

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“…However, the 18-month data with respect to the incidence of vein graft stenoses are different. These results are in line with the findings of the Bristol group, 32 who showed that in a cohort of patients who did not receive treatment for a stenosis or inflow or outflow problems, there was no difference in terms of patency. Mattos et al 33 have also previously concluded that the majority of stenoses stay patent whether treated or not.…”

Section: Discussionsupporting

confidence: 90%

Is Duplex Surveillance of Value After Leg Vein Bypass Grafting?

et al. 2005

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on Behalf of the VGST ParticipantsBackground-The purpose of this study was to assess the benefits of duplex compared with clinical vein graft surveillance in terms of amputation rates, quality of life, and healthcare costs in patients after femoropopliteal and femorocrural vein bypass grafts. Methods and Results-This was a multicenter, prospective, randomized, controlled trial. A total of 594 patients with a patent vein graft at 30 days after surgery were randomized to either a clinical or duplex follow-up program at 6 weeks, then 3, 6, 9, 12, and 18 months postoperatively. The clinical and duplex surveillance groups had similar amputation rates (7% for each group) and vascular mortality rates (3% versus 4%) over 18 months. More patients in the clinical group had vein graft stenosis at 18 months (19% versus 12%, Pϭ0.04), but primary patency, primary assisted patency, and secondary patency rates, respectively, were similar in the clinical group (69%, 76%, and 80%) and the duplex group (67%, 76%, and 79%). There were no apparent differences in health-related quality of life, but the average health service costs incurred by the duplex surveillance program were greater by £495 (95% CI £183 to £807) per patient. Conclusions-Intensive

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Section: Discussionsupporting

confidence: 90%

Is Duplex Surveillance of Value After Leg Vein Bypass Grafting?

et al. 2005

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“…8 However, one-third of patients will develop a significant stenosis in the SVG, predominantly in the first year after surgery and maintaining patency has generally been difficult for patients with a failing FP bypass graft, especially in occlusion. 2 Recently, endovascular approaches using DCB have been established as secondary intervention strategies for autologous bypass failure. However, the patency is suboptimal less than 30% after one year of follow-up, and unfortunately, SVG FP bypass restenosis or reocclusion has been encountered in daily clinical practice at a substantial frequency.…”

Section: Discussionmentioning

confidence: 99%

“…Although guidelines recommend surgical FP bypass with saphenous vein graft as the first-line therapy for complex FP lesions , 1 substantial incidence of reocclusion following FP bypass with SVG has been reported, and up to one-third of SVG bypass failure may need additional treatment . 2 There are several strategies for secondary intervention to salvage SVG bypass failure, and it is reported DCB usage prevents restenosis and prolongs the time period for re-intervention. 3 However, some studies reported that the clinical results following DCB use did not differ from conventional therapy.…”

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confidence: 99%

A case of occluded femoropopliteal saphenous vein bypass with threatening limb ischemia treated with endovascular stent graft relining

Toyoshima

Iida

Tsujimura

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Unfortunately, up to 45% of patients seen with critical lower limb ischemia do not possess a usable ipsilateral GSV [9,10] and it has also been shown that a minimal graft diameter of <3.5 mm is a strong independent factor for an event-causing graft stenosis [11]. In the literature 20-30% of venous bypass grafts develop stenoses in the first postoperative year due to myointimal hyperplasia [12,13] (Fig. 1).…”

Section: Femorodistal Reconstructionmentioning

confidence: 99%

The role of vein grafts in peripheral vascular disease and carotid artery disease

Walter

Magometschnigg

2007

Eur Surg

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Die Rolle von autologen Venegrafts in derChirurgie der peripheren Verschlußkrankheit und der Karotisstenose Zusammenfassung. Grundlagen: Die periphere Bypasschirurgie hat sich zu einer weit verbreiteten und erfolgreichen Behandlungsform fü r Patienten mit peripherer arterieller Verschlußkrankheit entwickelt.Methodik: Review der Fachliteratur. Ergebnisse: Obwohl Kunststoffprothesen als BypassGrafts stä ndig weiterentwickelt und verbessert werden, sind Venenbypass-Grafts nach wie vor unü bertroffen in Bezug auf ihre Sicherheit und Offenheitsraten. Um einen Langzeiterfolg fü r den Patienten zu gewä hrleisten, sind regelmä ßige Kontrollen und begleitende medikamentö se Therapie wichtig.Die Carotis-Thrombendarterektomie ist eine gut untersuchte und hä ufig durchgefü hrte Operation zur Reduzierung des Schlaganfallrisikos bei Carotisstenosen. Nach wie vor herrscht Diskussion ü ber das optimale Patchmaterial fü r den Verschluß der Arteriotomie. Aktuelle Meta-Analysen scheinen jedoch zu belegen, daß lediglich sehr kleine, wenn ü berhaupt, Unterschiede zwischen Venen-und Kunststoffpatches bestehen.Schlussfolgerungen: Trotz Verbesserungen der synthetischen Gefä ßersatz-Materialien sind autologe Venengrafts nach wie vor in der modernen Gefä ßchirurgie unverzichtbar.

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Vein graft stenosis: Incidence and intervention

Abstract: These results uphold the perceived benefits of a GS programme, although the evidence from the non-treated cases in this series reinforces a need for a large, prospective, randomised trial to confirm the case for GS.

Cited by 37 publications

References 18 publications

Is Duplex Surveillance of Value After Leg Vein Bypass Grafting?

Is Duplex Surveillance of Value After Leg Vein Bypass Grafting?

A case of occluded femoropopliteal saphenous vein bypass with threatening limb ischemia treated with endovascular stent graft relining

The role of vein grafts in peripheral vascular disease and carotid artery disease

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