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Updated: Jun 1, 2026
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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[An optimum donor site for venous grafting for microsurgery]
1Service de chirurgie orthopédique et de traumatologie, CHU Ambroise-Paré, Boulogne-Billancourt, France. olivgrimaud@hotmail.com
Chirurgie De La Main
|May 31, 2011
Summary
This study identifies the deep venous network of the radial artery as an optimal donor site for microsurgical venous grafts. It offers a safe, reproducible, and readily available option for procedures like finger reimplantation.
Area of Science:
- Anatomy
- Microsurgery
- Vascular Surgery
Context:
- Microsurgical procedures, particularly finger reimplantation, often require long, small-caliber venous grafts.
- Identifying suitable and accessible donor sites is crucial for successful graft harvesting.
Purpose:
- To identify and describe an optimal donor site for microsurgical venous grafts.
- To evaluate the radial artery's deep venous network as a source for such grafts.
- To detail a technique for harvesting these venous grafts.
Summary:
- Anatomical study of 10 cadavers revealed the deep venous network of the radial artery as a viable donor site.
- Two satellite veins were consistently found, averaging 1.8mm in diameter and up to 126.5mm in length.
- Harvesting required minimal collateral ligation (0-1 ligature in 60-80% of cases), making it efficient.
Impact:
- Presents an original, safe, reproducible, and easily accessible donor site for microsurgical venous grafts.
- Offers a valuable option for emergency situations in upper limb microsurgery.
- Facilitates the procurement of suitable grafts for complex reconstructive procedures.
