Korean J Thorac Cardiovasc Surg.  2006 Jun;39(6):456-461.

The Use of Greater Saphenous Vein In Situ Graft in Arterial Occlusive Disease of Lower Extremity

• Shin YC
• Kim MJ
• Song CM
• Ahn JB
• Kim IS
• Kim WS
• Kim BY

Abstract

BACKGROUND: Distal anastomosis using artificial vascular graft is difficult when luminal size mismatch occurred owing to severe occlusion of popliteal artery and its branches. So we reconstructed blood flow to ischemic lower limb by using autologous greater saphenous vein in situ graft (GSVISG) as vascular graft material. MATERIAL AND METHOD: From July 2000 to July 2005, 26 patients treated using GSVISG. We analyzed clinical results retrospectively by chart review. RESULT: There was no in hospital or early postoperative death and 6 late deaths occurred during follow up period. Postoperative complications were 5 cases of early graft obstruction, 2 cases of wound dehiscence, 1 case of graft aneurysmal change, 1 case of seroma formation at inguinal wound and 1 case of graft injury during valvulotomy. Overall patency rate during follow up period was 69.3%.
CONCLUSION
Greater saphenous vein in situ graft is acceptable vascular graft for arterial occlusive disease of lower extremity.

Keyword

Saphenous vein; Arterial occlusive disease; Graft

MeSH Terms

Aneurysm
Arterial Occlusive Diseases*
Follow-Up Studies
Humans
Lower Extremity*
Phenobarbital
Popliteal Artery
Postoperative Complications
Retrospective Studies
Saphenous Vein*
Seroma
Transplants*
Wounds and Injuries
Phenobarbital