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The basilic vein: an alternative conduit for complex iliofemoral reconstruction

T Spahos1, F Torella

  • 1Department of Vascular Surgery, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|January 24, 2012
PubMed

Insights

The basilic vein is a viable option for iliofemoral arterial reconstructions when prosthetic grafts are not suitable. This study shows excellent graft patency and feasibility for this alternative vascular conduit.

Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery
  • Arterial Interventions

Background:

  • Prosthetic grafts are standard for iliofemoral arterial reconstructions.
  • Alternative conduits are needed when prosthetic use is contraindicated due to infection, hypercoagulability, or previous graft failure.

Purpose of the Study:

  • To assess the efficacy and feasibility of using the basilic vein as an alternative conduit for iliofemoral arterial reconstructions.
  • To evaluate outcomes in patients where prosthetic grafts were not used.

Main Methods:

  • Retrospective cohort study reviewing 15 patients (17 procedures) from 2006-2011.
  • Data collected on comorbidities, indications, perioperative, and long-term outcomes.
  • Graft patency assessed via clinical examination and imaging (ultrasound, CT angiography).

Main Results:

  • Fifteen patients underwent 17 iliofemoral reconstructions using autologous basilic vein grafts.
  • Indications included prosthetic infection, hypercoagulable states, young age, and graft occlusions.
  • All grafts remained patent after a median follow-up of 21.5 months, with no major perioperative complications.

Conclusions:

  • Autologous basilic vein is a feasible and effective alternative conduit for iliofemoral arterial reconstruction.
  • It provides a valid option when prosthetic material is contraindicated.
  • This approach demonstrates good long-term patency and safety.
Abstract

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