Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

In situ saphenous vein bypass

J E Connolly, J H Kwaan

    Archives of Surgery (Chicago, Ill. : 1960)
    |December 1, 1982
    PubMed
    Summary

    In situ saphenous vein grafts show comparable 10-year patency to reversed grafts for lower extremity bypass. In situ grafting is preferred for unsuitable veins, offering an alternative to prosthetic grafts.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The walking dead: sequential nuclear and organelle destruction during hair development.

    The British journal of dermatology·2017
    Same author

    The evolution of extracranial carotid artery surgery as seen by one surgeon over the past 40 years.

    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2004
    Same author

    Primary closure of infected diabetic foot wounds. A report of closed instillation in 30 cases.

    Journal of the American Podiatric Medical Association·2000
    Same author

    Solitary pulmonary nodules: Part I. Morphologic evaluation for differentiation of benign and malignant lesions.

    Radiographics : a review publication of the Radiological Society of North America, Inc·2000
    Same author

    Solitary pulmonary nodules: Part II. Evaluation of the indeterminate nodule.

    Radiographics : a review publication of the Radiological Society of North America, Inc·2000
    Same author

    Thoracic manifestations of breast carcinoma: metastatic disease and complications of treatment.

    Clinical radiology·1999

    Area of Science:

    • Vascular Surgery
    • Surgical Techniques
    • Lower Extremity Revascularization

    Background:

    • Saphenous vein grafts are crucial for lower extremity revascularization.
    • Both in situ and reversed saphenous vein grafting techniques are utilized.
    • Long-term outcomes and specific indications require further comparative analysis.

    Purpose of the Study:

    • To compare the 20-year outcomes of in situ versus reversed saphenous vein grafts in the lower extremity.
    • To identify specific indications favoring in situ saphenous vein grafting.
    • To evaluate the role of in situ grafting as an alternative to prosthetic grafts.

    Main Methods:

    • Retrospective review of 20-year results for in situ saphenous vein grafts.
    • Comparison with outcomes of reversed saphenous vein grafts.
    • Analysis of graft patency rates and patient outcomes.

    Main Results:

    • No statistical difference in 10-year patency rates between in situ and reversed saphenous vein grafts (41-43%) when terminating at the popliteal artery.
    • Reversed saphenous vein grafts perform well in the femoropopliteal position due to consistent vein diameter.
    • Specific indications for in situ grafting include small, tapering, or bifurcating great saphenous veins unsuitable for reversed grafting.

    Conclusions:

    • In situ saphenous vein grafting offers comparable long-term patency to reversed grafts.
    • In situ technique is advantageous for managing challenging vein anatomy.
    • Consider in situ saphenous vein grafting before prosthetic grafts, especially for below-knee bypass, due to superior patency.

    Related Experiment Videos