Superficial femoral vein: A useful autogenous harvest site

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Presentation transcript:

Superficial femoral vein: A useful autogenous harvest site J.G. Sladen, MD, J.D.S. Reid, MD, T.M. Maxwell, MD, A.R. Downs, MD Journal of Vascular Surgery Volume 20, Issue 6, Pages 947-952 (December 1994) DOI: 10.1016/0741-5214(94)90232-1 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Photograph of harvest of SFV from left thigh. Vein (dotted) is contracted from dissection. Artery is retracted with vessel loop during dissection and is often divided for improved exposure. Journal of Vascular Surgery 1994 20, 947-952DOI: (10.1016/0741-5214(94)90232-1) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Photograph of long tapered anastomosis into distal above-knee popliteal artery inright leg. Journal of Vascular Surgery 1994 20, 947-952DOI: (10.1016/0741-5214(94)90232-1) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Arteriogram of 3.5 mm reversed SFV graft 6 months after operation. Graft was taken off Linton vein patch on superficial femoral artery but developed stenosis and thrombus locally in this area (arrow) at 18 months. This was only graft less than 4 mm in diameter and only problem we have encountered that involved SFV portion of graft. There is no stenosis on duplex examination 30 months after revision. Journal of Vascular Surgery 1994 20, 947-952DOI: (10.1016/0741-5214(94)90232-1) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Aortogram shows stump of occluded redo Dacron crossover graft (black arrow) and deep outflow (open arrow). Graft had failed and been replaced 3 months previously. SFV graft functioned for 18 months until patient died of heart disease. Journal of Vascular Surgery 1994 20, 947-952DOI: (10.1016/0741-5214(94)90232-1) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions