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

Shin Yong-Chul (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Kim Mi-Jung (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Song Chang-Min (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Ahn Jae-Bum (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Kim In-Sub (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Kim Woo-Sik (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Kim Byung-Yul (Department of Thoracic & Cardiovascular Surgery, National Medical Center)
Publication Information
Journal of Chest Surgery / v.39, no.6, 2006 , pp. 456-461 More about this Journal
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.
Keywords
Saphenous vein; Arterial occlusive disease; Graft;
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