Lower Extremity Arterial Bypass with Arm Vein Conduits and Literature Review.
10.5758/vsi.2016.32.4.160
- Author:
Dae Joon PARK
1
;
Yang Jin PARK
;
Kyoung Won YOON
;
Seon Hee HEO
;
Dong Ik KIM
;
Young Wook KIM
Author Information
1. Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ywkim@skku.edu
- Publication Type:Original Article
- Keywords:
Arm vein;
Lower extremity arterial bypass;
Result
- MeSH:
Amputation;
Arm*;
Arteries;
Atherosclerosis;
Extremities;
Follow-Up Studies;
Humans;
Lower Extremity*;
Male;
Ocimum basilicum;
Retrospective Studies;
Saphenous Vein;
Transplants;
Ultrasonography;
Veins*
- From:Vascular Specialist International
2016;32(4):160-165
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The superiority of autogenous vein conduits is well known in lower extremity arterial bypass (LEAB). Among various alternative conduits for LEAB, long-term results of arm vein grafts were investigated in this study. MATERIALS AND METHODS: We retrospectively reviewed clinical characteristics of 28 patients who underwent infrainguinal LEAB with autogenous arm vein grafts at a single institute between January 2003 and December 2015. All procedures were performed in the absence of adequate saphenous veins. Graft patency was determined by periodic examinations with duplex ultrasonography. RESULTS: Autologous arm vein grafts were implanted for 28 patients (mean age, 60.4±16.8 years; range, 20–82 years; male, 92.9%; atherosclerosis, 19 [67.9%]; and non-atherosclerotic disease 9 [32.1%] including 5 patients with Buerger’s disease). Source of arm vein were basilic 13 (46.4%), cephalic 4 (14.3%) and composition graft with other veins in 11 (39.3%) cases. The level of distal anastomosis was distributed as popliteal in 5 (17.9%), tibio-peroneal in 21 (75.0%) and inframalleolar artery in 2 (7.1%) cases. Mean duration of follow-up was 41.5±46.9 months (range, 1–138 months). Cumulative primary patency rates at 1, 3, and 5 years were 66.5%, 60.9% and 60.9%, respectively. Assisted-primary patency rates at 1, 3 and 5 years were 66.5%, 66.5% and 66.5%, respectively. Secondary patency rates at 1, 3 and 5 years were 70.8%, 70.8% and 70.8%, respectively. There was one limb amputation during the follow-up period. CONCLUSION: Arm veins are a useful alternative conduit when great saphenous veins are not available during LEAB.
