Superficial femoral vein: A useful autogenous harvest site

Sladen, Joseph G.; Reid, John D.; Maxwell, Thomas M.; Downs, Andy

doi:10.1016/0741-5214(94)90232-1

Cited by 31 publications

(23 citation statements)

References 13 publications

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“…In all three of these cases, however, the vein was similarly harvested to the distal popliteal vein [ 4 ]. In contrast to this study Sladen et al reported on a series of 25 interventions involving SFV harvest performed primarily for critical ischemia [ 26 ]. With the exception of one case, they avoided vein harvest to below the knee.…”

Section: Harvest-related Morbidity In Superficial Femoral Vein Usementioning

confidence: 85%

“…The author Dr. Neufang always removes venous valves as a matter of routine, not least to prevent possible clot formation or subsequent stenosis on the comparatively large and rigid valves. Venous valves are destroyed according to the Valentine technique using a retrograde Mills valvulotome, as with the GSV, by cutting the valvular leaflet [ 26 , 47 ]. As SFV valves can be relatively rigid, this type of valve destruction can be challenging in individual cases and may cause damage to the vein wall.…”

Section: Procedures For the Dissection And Harvest Of Superficial Femomentioning

confidence: 99%

“…Finally, following complete valve excision, the vein is returned to its original direction. If an inspection of the vein by means of careful distension reveals marked ectatic segments (possibly in the area of the valve planes) with a diameter greater than 1 cm, continuous oversewing of these segments with a thin polypropylene suture (6.0) can be performed in order to adjust the lumen or prevent subsequent dilatation of the vascular segment [ 26 ]. Vein segments subject to postphlebitic changes should be excised and discarded [ 26 ].…”

Section: Procedures For the Dissection And Harvest Of Superficial Femomentioning

confidence: 99%

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Operative technique and morbidity of superficial femoral vein harvest

Neufang

Savvidis

2016

Gefässchirurgie

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BackgroundThe use of autologous superficial femoral veins (SFV) as an arterial or venous substitute represents a valuable technique in modern vascular surgery with versatile indications. The SFV autografts exhibit excellent control of infection and durable long-term results in terms of graft patency in prosthetic or arterial infections. In cases of elective use of the SFV, duplex ultrasound evaluation of the deep leg vein system should be implemented to confirm the patency of the profunda femoris vein.Material and methodsThe SFV can be harvested distal to the adductor hiatus with a proximal portion of the popliteal vein but should not exceed the level of the knee joint. Formation of a stump of the proximal SFV must be avoided. Simultaneous harvesting of the ipsilateral greater saphenous vein should be avoided to reduce the risk of significant chronic edema.ResultsEarly postoperative swelling of the donor leg can be expected but resolves spontaneously in most cases. Chronic mild edema of the leg with a possible indication for compression therapy may occur in up to 20 % of cases but severe complications are very rare if the anatomical borders for vein harvesting are respected. Temporary therapeutic anticoagulation after vein harvest is subject to individual decision making.ConclusionDuplex ultrasound is a reliable tool to assess the residual deep and superficial venous system in the long term. Excellent graft function and the tolerable adverse effects of vein harvest on the donor leg justify the use of the SFV in arterial and venous vascular surgery if indicated.

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Section: Harvest-related Morbidity In Superficial Femoral Vein Usementioning

confidence: 85%

Section: Procedures For the Dissection And Harvest Of Superficial Femomentioning

confidence: 99%

Section: Procedures For the Dissection And Harvest Of Superficial Femomentioning

confidence: 99%

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Operative technique and morbidity of superficial femoral vein harvest

Neufang

Savvidis

2016

Gefässchirurgie

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“…Other alternatives for obtaining autogenous material, such as harvesting of the superficial femoral vein, involve more complex techniques and higher operative mortality. 10 With recent advances in cryobiology enabling preservation of living cells and tissues for a long period of time, and given the high rate of shortterm occlusions and poor results with cryopreserved homografts veins, 11-13 a renewed interest has developed in cryopreserved arterial homografts, resulting in the creation of arterial banks. Construction of long bypasses with cryopreserved arterial homografts is less traumatic and is a technically simple procedure for lower-limb revascularization.…”

Section: Discussionmentioning

confidence: 99%

Cryopreserved Arterial Homografts: Preliminary Results in Infrageniculate Arterial Reconstructions

Alonso

Segura

Prada

et al. 1999

Annals of Vascular Surgery

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“…Der autologe Venenbypass stellt zweifelsfrei das optimale Verfahren zur infragenualen und kruralen Rekonstruktion der arteriellen Strombahn dar [12,37], wobei der in-situ-Bypass sicher das eleganteste und am wenigsten traumatische Verfahren ist [29]. Die Offenheitsraten der VSM als Bypassgefa Èû sind jedoch mit anderen autologen Venen (Armvenen, VSP, V. femoralis) nicht erreichbar [7,13,31].…”

Section: Diskussionunclassified

Femoro-distale ePTFE-Bypassrekonstruktionen mittels femoro-kruraler Patchprothese (FCPP)

Rückert¹,

Krüger²,

Heise³

et al. 2001

Zentralbl Chir

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Femorodistal bypass using exclusively PTFE is known to have a poor prognosis, mostly because of the development of myointimal hyperplasia (MIH). Several vein patch techniques are established but the role of hemodynamics within the anastomotic site has only been explained insufficiently and is hardly considered clinically. In a prospective study, between 6/1992 and 7/1998 129 patients (89 m/40 f, mean age 65.2 +/- 10.0 years) with critical limb ischemia and no usable saphenous vein were included to undergo femorodistal ePTFE bypass grafting with a new, hemodynamically optimized distal end-to-side anastomosis. Patients were followed at 6-month intervals with clinical investigation and color-coded Doppler sonography. Primary and secondary graft patency (PPR, SPR), limb salvage, and patient survival were calculated according to Kaplan-Meier. With a median follow-up of 45 (range 6 to 72) months, PPR and SPR at 1, 3 and 5 years were 63.0, 35.7 and 27.6% and 74.5, 44.8%, and 37.6%, respectively. Limb salvage at 1, 3 and 5 years was 86.4%, 78.7% und 73.2%. There was no perioperative mortality. Graft infection occurred in 7 patients (5.2%). ePTFE bypass grafting represents a valuable option for infragenicular and crural reconstruction in the absence of autologous vein. The new anastomotic design was feasible and represents another adjunct to possibly improve patency of femorodistal bypass allografts.

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Superficial femoral vein: A useful autogenous harvest site

Cited by 31 publications

References 13 publications

Operative technique and morbidity of superficial femoral vein harvest

Operative technique and morbidity of superficial femoral vein harvest

Cryopreserved Arterial Homografts: Preliminary Results in Infrageniculate Arterial Reconstructions

Femoro-distale ePTFE-Bypassrekonstruktionen mittels femoro-kruraler Patchprothese (FCPP)

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