Endarterectomized superficial femoral artery joint to reversed saphenous vein bypass for lower extremity revascularization

Abstract

Autogenous saphenous vein is the preferred graft material for femorodistal revascularization. Doubt remains, however, about what material to use when the vein is neither available nor adequate.

The authors report their experience with 15 patients aged from fifty-one to eighty years in whom, in the absence of a suitable saphenous vein, were performed a combined revascularization with endarterectomy in the proximal segment joint to a bypass with reversed saphenous vein in the distal tract.

With a follow-up ranging from 8 to 17 months, the 1-year patency rate was 73.3%, whereas the limb salvage rate was 80%.

The authors believe this technique is an acceptable alternative for femorodistal reconstruction in patients without a suitable saphenous vein.