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Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery

Objective: Due to the potential of thrombus blockage and aneurysm rupture, saphenous veins with varicose veins are not advised for use as bypass grafts. However, if no other autologous vein is accessible for use as a conduit in lower-limb bypass; varicose vein transplants may be employed. Few report...

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Autores principales: Guntani, Atsushi, Yamashita, Sho, Mii, Shinsuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539130/
https://www.ncbi.nlm.nih.gov/pubmed/37779647
http://dx.doi.org/10.3400/avd.oa.22-00122
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author Guntani, Atsushi
Yamashita, Sho
Mii, Shinsuke
author_facet Guntani, Atsushi
Yamashita, Sho
Mii, Shinsuke
author_sort Guntani, Atsushi
collection PubMed
description Objective: Due to the potential of thrombus blockage and aneurysm rupture, saphenous veins with varicose veins are not advised for use as bypass grafts. However, if no other autologous vein is accessible for use as a conduit in lower-limb bypass; varicose vein transplants may be employed. Few reports have studied the clinical results of lower-limb bypass using varicose vein grafts. We therefore investigated whether or not acceptable patency rates of varicose vein graft for lower-limb bypass could be achieved. Methods: We performed lower-limb bypass using varicose vein graft on nine limbs from June 2017 to May 2020 and conducted a retrospective analysis of prospectively collected data. Results: Early graft failure following bypass surgery using a varicose vein transplant was not detected, and major complications, such as acute graft occlusion or aneurysm dilatation, were not noted throughout the follow-up period. The primary and secondary patency of varicose vein graft was 70.0% and 100% at 3 years, respectively. Conclusion: The incidence of major problems of the varicose vein transplants does not seem to be higher than with conventional saphenous vein grafts. If there are no other appropriate autologous veins, a varicose vein graft may be useful as a conduit for bypass surgery.
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spelling pubmed-105391302023-09-30 Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery Guntani, Atsushi Yamashita, Sho Mii, Shinsuke Ann Vasc Dis Original Article Objective: Due to the potential of thrombus blockage and aneurysm rupture, saphenous veins with varicose veins are not advised for use as bypass grafts. However, if no other autologous vein is accessible for use as a conduit in lower-limb bypass; varicose vein transplants may be employed. Few reports have studied the clinical results of lower-limb bypass using varicose vein grafts. We therefore investigated whether or not acceptable patency rates of varicose vein graft for lower-limb bypass could be achieved. Methods: We performed lower-limb bypass using varicose vein graft on nine limbs from June 2017 to May 2020 and conducted a retrospective analysis of prospectively collected data. Results: Early graft failure following bypass surgery using a varicose vein transplant was not detected, and major complications, such as acute graft occlusion or aneurysm dilatation, were not noted throughout the follow-up period. The primary and secondary patency of varicose vein graft was 70.0% and 100% at 3 years, respectively. Conclusion: The incidence of major problems of the varicose vein transplants does not seem to be higher than with conventional saphenous vein grafts. If there are no other appropriate autologous veins, a varicose vein graft may be useful as a conduit for bypass surgery. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023-09-25 /pmc/articles/PMC10539130/ /pubmed/37779647 http://dx.doi.org/10.3400/avd.oa.22-00122 Text en © 2023 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by-nc-sa/4.0/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Original Article
Guntani, Atsushi
Yamashita, Sho
Mii, Shinsuke
Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title_full Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title_fullStr Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title_full_unstemmed Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title_short Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery
title_sort short-term results of varicose vein graft used for lower-limb bypass surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539130/
https://www.ncbi.nlm.nih.gov/pubmed/37779647
http://dx.doi.org/10.3400/avd.oa.22-00122
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