The use of arm veins for infrainguinal bypass in end-stage peripheral vascular disease.
Publication/Presentation Date
9-1-1989
Abstract
Thirty-six infrainguinal bypass grafts were performed in 33 patients with the use of autologous arm vein. Indications for operation were ischemic rest pain or tissue loss in all patients. The average age of the patients was 70.0 years-27% were diabetic and 66% were smokers. Sixty-five percent of the grafts were performed as secondary reconstructions. Follow-up ranged from three weeks to six years, with a mean of 12.1 months. Life-table primary and secondary patencies for all grafts are 73% and 82% at one year, respectively. Simple (noncomposite) arm vein grafts had primary and secondary patencies of 75% and 85%, respectively. The limb salvage rate was 86%. No grafts required thrombectomy for early occlusion (less than 30 days), and no graft failures have occurred beyond nine months (n = 18). Arm vein bypass grafts demonstrate excellent patency rates and provide the preferred conduit in the absence of autologous saphenous vein.
Volume
124
Issue
9
First Page
1078
Last Page
1081
ISSN
0004-0010
Published In/Presented At
Balshi, J. D., Cantelmo, N. L., Menzoian, J. O., & LoGerfo, F. W. (1989). The use of arm veins for infrainguinal bypass in end-stage peripheral vascular disease. Archives of surgery (Chicago, Ill. : 1960), 124(9), 1078–1081. https://doi.org/10.1001/archsurg.1989.01410090088019
Disciplines
Medicine and Health Sciences
PubMedID
2774911
Department(s)
Department of Surgery
Document Type
Article