Cargando…
A Reappraisal of Saphenous Vein Grafting
Autologous saphenous vein grafting has been broadly used as a bypass conduit, interposition graft, and patch graft in a variety of operations in cardiac, thoracic, neurovascular, general vascular, vascular access, and urology surgeries, since they are superior to prosthetic veins. Modified saphenous...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3101728/ https://www.ncbi.nlm.nih.gov/pubmed/21245602 http://dx.doi.org/10.4103/0256-4947.75781 |
_version_ | 1782204295585726464 |
---|---|
author | Yuan, Shi-Min Jing, Hua |
author_facet | Yuan, Shi-Min Jing, Hua |
author_sort | Yuan, Shi-Min |
collection | PubMed |
description | Autologous saphenous vein grafting has been broadly used as a bypass conduit, interposition graft, and patch graft in a variety of operations in cardiac, thoracic, neurovascular, general vascular, vascular access, and urology surgeries, since they are superior to prosthetic veins. Modified saphenous vein grafts (SVG), including spiral and cylindrical grafts, and vein cuffs or patches, are employed in vascular revascularization to satisfy the large size of the receipt vessels or to obtain a better patency. A loop SVG helps flap survival in a muscle flap transfer in plastic and reconstructive surgery. For dialysis or transfusion purposes, a straight or loop arteriovenous fistula created in the forearm or the thigh with an SVG has acceptable patency. The saphenous vein has even been used as a stent cover to minimize the potential complications of standard angioplasty technique. However, the use of saphenous vein grafting is now largely diminished in treating cerebrovascular disorders, superior vena cava syndrome, and visceral revascularization due to the introduction of angioplasty and stenting techniques. The SVG remains the preferable biomaterial in coronary artery bypass, coronary ostioplasty, free flap transfer, and surgical treatment of Peyronie disease. Implications associated with saphenous vein grafting in vascular access surgery for the purpose of dialysis and chemotherapy are considerable. Vascular cuffs and patches have been developed as an important and effective means of enhancing the patency rates of the grafts by linking the synthetic material to the receipt vessel. In addition, saphenous veins can be a cell source for tissue engineering. We review the versatile roles that saphenous vein grafting has played as well as its current status in therapy. |
format | Text |
id | pubmed-3101728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-31017282011-06-16 A Reappraisal of Saphenous Vein Grafting Yuan, Shi-Min Jing, Hua Ann Saudi Med Review Autologous saphenous vein grafting has been broadly used as a bypass conduit, interposition graft, and patch graft in a variety of operations in cardiac, thoracic, neurovascular, general vascular, vascular access, and urology surgeries, since they are superior to prosthetic veins. Modified saphenous vein grafts (SVG), including spiral and cylindrical grafts, and vein cuffs or patches, are employed in vascular revascularization to satisfy the large size of the receipt vessels or to obtain a better patency. A loop SVG helps flap survival in a muscle flap transfer in plastic and reconstructive surgery. For dialysis or transfusion purposes, a straight or loop arteriovenous fistula created in the forearm or the thigh with an SVG has acceptable patency. The saphenous vein has even been used as a stent cover to minimize the potential complications of standard angioplasty technique. However, the use of saphenous vein grafting is now largely diminished in treating cerebrovascular disorders, superior vena cava syndrome, and visceral revascularization due to the introduction of angioplasty and stenting techniques. The SVG remains the preferable biomaterial in coronary artery bypass, coronary ostioplasty, free flap transfer, and surgical treatment of Peyronie disease. Implications associated with saphenous vein grafting in vascular access surgery for the purpose of dialysis and chemotherapy are considerable. Vascular cuffs and patches have been developed as an important and effective means of enhancing the patency rates of the grafts by linking the synthetic material to the receipt vessel. In addition, saphenous veins can be a cell source for tissue engineering. We review the versatile roles that saphenous vein grafting has played as well as its current status in therapy. Medknow Publications 2011 /pmc/articles/PMC3101728/ /pubmed/21245602 http://dx.doi.org/10.4103/0256-4947.75781 Text en © Annals of Saudi Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Yuan, Shi-Min Jing, Hua A Reappraisal of Saphenous Vein Grafting |
title | A Reappraisal of Saphenous Vein Grafting |
title_full | A Reappraisal of Saphenous Vein Grafting |
title_fullStr | A Reappraisal of Saphenous Vein Grafting |
title_full_unstemmed | A Reappraisal of Saphenous Vein Grafting |
title_short | A Reappraisal of Saphenous Vein Grafting |
title_sort | reappraisal of saphenous vein grafting |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3101728/ https://www.ncbi.nlm.nih.gov/pubmed/21245602 http://dx.doi.org/10.4103/0256-4947.75781 |
work_keys_str_mv | AT yuanshimin areappraisalofsaphenousveingrafting AT jinghua areappraisalofsaphenousveingrafting AT yuanshimin reappraisalofsaphenousveingrafting AT jinghua reappraisalofsaphenousveingrafting |