Prosthetic Reinforcement of Varicose Saphenous Vein Grafts for Infrainguinal Bypass

Soury, Patrick; Peillon, Christophe; Watelet, J; Planet, Marc; Plissonnier, Didier; Gallo, Gérald Del; Testart, J

doi:10.1007/s100169900259

Cited by 13 publications

(12 citation statements)

References 10 publications

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“…No complications from the wrapping procedure were noted, and there was no dilatation in the unwrapped segments during the follow-up [15]. In addition to this clinical series, small numbers of extensive external wrapping with prosthetic material using highly varicose saphenous veins with excellent long term function have been reported [16,17].…”

Section: Discussionmentioning

confidence: 99%

External Reinforcement of Varicose Veins with PTFE prosthesis in Infrainguinal Bypass Surgery - Clinical Results

Neufang¹,

Dorweiler²,

Espinola-Klein³

et al. 2003

Thorac cardiovasc Surg

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Section: Discussionmentioning

confidence: 99%

External Reinforcement of Varicose Veins with PTFE prosthesis in Infrainguinal Bypass Surgery - Clinical Results

Neufang¹,

Dorweiler²,

Espinola-Klein³

et al. 2003

Thorac cardiovasc Surg

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“…This provides strong evidence for coating grafts with autologous endothelial cells. Other surgeons have utilized autologous vein grafts which were prosthetically reinforced 75. Matsuda and colleagues coated ECs and smooth muscle cell (SMC) collagen matrices with elastomeric polyurethane films to confer increased radial compliance 76.…”

Section: Prosthetic Bypass Graftsmentioning

confidence: 99%

Current status of prosthetic bypass grafts: A review

et al. 2005

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Polymers such as Dacron and polytetrafluoroethylene (PTFE) have been used in high flow states with relative success but with limited application at lower flow states. Newer polymers with greater compliance, biomimicry, and ability to evolve into hybrid prostheses, suitable as smaller vessels, are now being introduced. In view of the advances in tissue engineering, this makes possible the creation of an ideal off-the-shelf bypass graft. We present a broad overview of the current state of prosthetic bypass grafts.

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“…22 In addition to this clinical series, other authors have described extensive external wrapping with prosthetic material of highly varicosed LSV, with excellent long-term results. 23,24 In our first case, duplex ultrasonography demonstrated echolucent material in the SFA, indicating the presence of thrombosis. This made it impossible to manage by subintimal angioplasty owing to the risk of distal embolization and rethrombosis.…”

Section: Discussionmentioning

confidence: 60%

Reinforced Long Saphenous Vein Bypass Graft for Infrainguinal Reconstruction Procedures: Case Series and Literature Review

et al. 2006

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Poor rehabilitation rates and the high-cost of managing postamputation patients justify an aggressive revascularization policy in critical lower limb ischemia. Endovascular therapy is our first choice for limb salvage in these patients. However there are patients for whom endovascular therapy is not feasible. When bypass is necessary, autologous vein is a superior conduit to synthetic material. However, varicosities usually contraindicate autologous vein bypass because of the risk of aneurysm formation, rupture and increased intimal hyperplasia compared with nonvaricose venous grafts. We report the use of varicosed long saphenous vein (LSV) with external Dacron support in infrainguinal bypass procedures for limb salvage, where endovascular therapy was not feasible. The external Dacron tube was not brought close to the distal anastomotic area itself. With a mean follow-up of 18 months, duplex ultrasonography and computed tomography angiography showed no evidence of stenosis of the reinforced vein segments or aneurysmal degeneration of the residual vein. External reinforcement with Dacron prosthesis allows the use of autogenous greater saphenous veins with varicose dilatation without compromising graft patency and limb salvage.

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Prosthetic Reinforcement of Varicose Saphenous Vein Grafts for Infrainguinal Bypass

Cited by 13 publications

References 10 publications

External Reinforcement of Varicose Veins with PTFE prosthesis in Infrainguinal Bypass Surgery - Clinical Results

External Reinforcement of Varicose Veins with PTFE prosthesis in Infrainguinal Bypass Surgery - Clinical Results

Current status of prosthetic bypass grafts: A review

Reinforced Long Saphenous Vein Bypass Graft for Infrainguinal Reconstruction Procedures: Case Series and Literature Review

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