Tibiotibial vein bypass grafts

A new operation for limb salvage

Frank J. Veith, Enrico Ascer, Sushil K. Gupta, Sheila White-Flores, Seymour Sprayregen, Larry A. Scher, Russell H. Samson

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Tibiotibial bypasses were performed with short (8 to 33 cm) segments of reversed autologous vein in 14 patients who did not have longer segments of usable vein. All patients faced imminent amputation unless they had an effective revascularization. Two patients died, one within 1 month of operation. One patient required below-knee amputation despite a patent bypass. Eleven patients (79%) have a patent bypass and a functional limb 6 to 50 months after operation. These good patency results even with several grafts inserted into isolated segments of tibial arteries, some with incomplete plantar arches, suggest that these short vein grafts may be superior to other vein grafts. Tibiotibial bypasses may improve limb salvage results in otherwise difficult circumstances.

Original languageEnglish (US)
Pages (from-to)552-557
Number of pages6
JournalJournal of Vascular Surgery
Volume2
Issue number4
DOIs
StatePublished - 1985

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Limb Salvage
Veins
Transplants
Amputation
Tibial Arteries
Knee
Extremities

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Tibiotibial vein bypass grafts : A new operation for limb salvage. / Veith, Frank J.; Ascer, Enrico; Gupta, Sushil K.; White-Flores, Sheila; Sprayregen, Seymour; Scher, Larry A.; Samson, Russell H.

In: Journal of Vascular Surgery, Vol. 2, No. 4, 1985, p. 552-557.

Research output: Contribution to journalArticle

Veith, Frank J. ; Ascer, Enrico ; Gupta, Sushil K. ; White-Flores, Sheila ; Sprayregen, Seymour ; Scher, Larry A. ; Samson, Russell H. / Tibiotibial vein bypass grafts : A new operation for limb salvage. In: Journal of Vascular Surgery. 1985 ; Vol. 2, No. 4. pp. 552-557.
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