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Arm veins for peripheral arterial reconstruction.

K R Clayson, W H Edwards, T R Allen

    Archives of Surgery (Chicago, Ill. : 1960)
    |November 1, 1976
    PubMed
    Summary
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    Arm veins, including cephalic and basilic veins, offer a viable alternative for arterial reconstruction when the saphenous vein is unavailable or unsuitable. These autogenous materials demonstrate promising results in bypass and patch graft procedures.

    Area of Science:

    • Vascular Surgery
    • Arterial Reconstruction
    • Autogenous Tissue Grafting

    Background:

    • The ipsilateral saphenous vein is the preferred autogenous material for various bypass and graft procedures.
    • Limited availability or suitability of the saphenous vein necessitates alternative grafting materials.

    Observation:

    • This study reports on 32 arterial reconstruction operations utilizing arm veins (cephalic and basilic) over six years.
    • Graft types included 11 long vein grafts, 7 composite vein-Dacron or vein-vein grafts, and 14 vein patch grafts.

    Findings:

    • No infections or aneurysms were observed in the cohort.
    • Nine thrombotic failures were detected among the arm vein grafts.
    • Cephalic and basilic veins proved to be a useful source of autogenous material for arterial reconstruction.

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    Implications:

    • Arm veins serve as a valuable substitute when saphenous vein grafts are not feasible.
    • Utilizing arm veins can preserve the saphenous vein for potential future use.
    • These findings support the expanded use of arm veins in complex arterial reconstructions.