Vein Patch Closure Using Below the Knee Greater Saphenous Vein for Femoral Endarterectomy Procedures is Not Always a Safe Choice

BACKGROUND: The complication of vein patch rupture is well described after carotid patch angioplasty; however, there is a paucity of data about the safety of vein patch closure in the setting of femoral endarterectomy. METHODS/RESULTS: From May 2012 to May 2015, 115 femoral endarterectomies with pat...

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Detalles Bibliográficos
Autores principales: Berner, M., Lattmann, Th., Stalder, Ph., Wigger, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721262/
https://www.ncbi.nlm.nih.gov/pubmed/29234736
http://dx.doi.org/10.1016/j.ejvssr.2017.10.001
Descripción
Sumario:BACKGROUND: The complication of vein patch rupture is well described after carotid patch angioplasty; however, there is a paucity of data about the safety of vein patch closure in the setting of femoral endarterectomy. METHODS/RESULTS: From May 2012 to May 2015, 115 femoral endarterectomies with patch closure were performed. A patch rupture occurred in three cases (2.6%) with a mortality rate of 66% (2/3). In all cases the greater saphenous vein below the knee was used as patch material. DISCUSSION/CONCLUSION: Vein patches, particularly from small calibre veins, should be excluded in femoral endarterectomy procedures as they pose a substantial risk of rupture.

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