Selection of Saphenous Vein Conduit in Varicose Vein Disease

Cohn, Joseph D.; Korver, Keith F.

doi:10.1016/j.athoracsur.2005.11.013

Cited by 19 publications

(11 citation statements)

References 21 publications

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“…The study by Caggiati et al, 13 reports a prevalence of saphenous trunk varicosities of 62% in a group with an average age of 60 years, and 39% in a group with a mean age of 30 years. On the contrary, other studies of limbs with primary varicose veins have shown a complete absence of varicosities in the saphenous trunks 10,11,15 or only segmental dilations. 14 The definitions of varicosities in these studies are based on either the latest CEAP revision or individual definitions, which may overestimate or underestimate the true occurrence of saphenous varicosities.…”

Section: Discussionmentioning

confidence: 93%

“…6,10,12,13,20,23,26 These data are in accordance with the progression of venous disease where reflux advances from the tributaries and accessory saphenous veins to the saphenous trunks or develops in new locations. 6,12,15,18,19,24,27 Patients with skin damage have a higher prevalence of junctional involvement. It could be assumed that patients with primary CVD have more longstanding disease compared to CEAP classes 2 and 3.…”

Section: Discussionmentioning

confidence: 99%

“…Any vein outside the canal was termed as an accessory vein or a tributary. 15,16 Even vein segments that exit the canal at one point and re-enter the canal to reunite the saphenous vein were considered accessory veins. Absence of the saphenous vein in any part in its course was termed aplasia.…”

Section: Methodsmentioning

confidence: 99%

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The distribution and significance of varicosities in the saphenous trunks

Labropoulos

Kokkosis

Spentzouris

et al. 2010

Journal of Vascular Surgery

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A novel definition for varicosities in the saphenous trunks was established. Using this definition, it was determined that focal dilatations are far more common than varicosities. Because both of these entities are more prevalent in the accessory saphenous veins and tributaries, and CEAP class correlates positively with the extent of reflux and saphenous trunk diameter, studies on earlier interventions are warranted to prevent CVD progression.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The distribution and significance of varicosities in the saphenous trunks

Labropoulos

Kokkosis

Spentzouris

et al. 2010

Journal of Vascular Surgery

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“…However major extensive dilatation of varicose veins and unfavorable flow dynamics predispose these veins to aneurysm formation and rupture. Furthermore, varicose vein grafts are likely to undergo increased intimal hyperplasia and long-term risk of thrombosis compared with normal vein grafts when exposed to arterial pressure [5–11].…”

Section: Discussionmentioning

confidence: 99%

Distal bypass with a varicose vein graft for critical limb ischemia: report of a case

2019

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BackgroundA saphenous vein complicated with varicose veins is generally thought to be unsuitable for bypass grafting.Case presentationA patient who developed sepsis due to lower limb gangrene was successfully treated by endovascular treatment and bypass surgery using a varicose vein graft. There were no complications, such as occlusion or aneurysm, of the varicose vein graft during the 2-year follow-up period.ConclusionsWe herein report a case in which bypass surgery with a varicose vein graft was used to avoid major amputation of the lower limb, and the patient recovered markedly from sepsis. If there are no other appropriate autologous veins for revascularization of lower limb gangrene, a varicose vein graft may be useful as a conduit for bypass surgery at risk of graft infection.

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“…It is also commonly thought that limbs with varicose veins are not suitable for conduit harvesting. However, Cohn et al [4] demonstrated that useable veins can be found in such limbs using the ultrasound technique. Preoperative LSV mapping is also found to reduce the length of the incision and harvest time.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound mapping of the long saphenous vein in coronary artery bypass graft surgery

Soo¹,

Noel²,

MacGowan³

2013

Interactive CardioVascular and Thoracic Surgery

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Long saphenous vein is the most common conduit utilized for surgical coronary revascularization. Ultrasound-assisted vein assessment is superior to traditional clinical examination of the long saphenous vein in discerning path and suitability for use as a conduit. Preoperative ultrasound mapping of the long saphenous vein is easy and rapidly accomplished allowing optimal surgical site selection, avoiding unnecessary surgical dissection and potential wound complications. We describe the technique of ultrasound mapping of the long saphenous vein and its application to conduit harvest in coronary artery bypass graft (CABG) surgery.

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Selection of Saphenous Vein Conduit in Varicose Vein Disease

Cited by 19 publications

References 21 publications

The distribution and significance of varicosities in the saphenous trunks

The distribution and significance of varicosities in the saphenous trunks

Distal bypass with a varicose vein graft for critical limb ischemia: report of a case

Ultrasound mapping of the long saphenous vein in coronary artery bypass graft surgery

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