1. Instrumental evolution of the valve incision method of in situ saphenous vein bypass 
Robert P. Leather, M.D., Dhiraj M. Shah, M.D., John D. Corson, M.D., Allastair M. Karmody, M.D. 
Journal of Vascular Surgery 
Volume 1, Issue 1, Pages (January 1984)
DOI: / (84)
Copyright © 1984 Mosby, Inc. Terms and Conditions

2. Fig. 1
Concept of valve incision. Blunted scissors are advanced to depths of valve sinus with leaflets in functionally closed position and valve leaflets cut.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

3. Fig. 2 Microvascular scissors originally used for valve incision.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

4. Fig. 3
Modified Mills' valvulotomes. Top: Original tip. Bottom: Current tip (shorter and safer).
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

5. Fig. 4 Valve incision with valve cutter (American V. Mueller).
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

6. Fig. 5
Pressure-control system with pneumatic transfusion cuff (not shown) over compliant plastic bag containing 500 ml blood or 2500 units of intravenous fluid with heparin and 120 mg papaverine hydrochloride and appropriate tubing. A No. 8 French catheter is attached to cutter (insert) to provide a pressure gradient at valve site.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

7. Fig. 6
Scissors now used. Top: With reversed handle. Bottom: Sweet pituitary scissors.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

8. Fig. 7
A, Preoperative phlebogram showing a perforating vein (arrow). B, Operative completion angiogram (same vein) showing, in addition, a double system (present but not visible on this print of preoperative phlebogram without additional light).
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

9. Fig. 8 Valve incision with valvulotome.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
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10. Fig. 9
Sites of distal anastomoses in 407 in situ saphenous vein arterial bypasses for limb-threatening ischemia.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
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11. Fig. 10
In situ bypass patency by life-table analysis of procedures performed for limb salvage shown with a comparable series (23) typifying the results for reversed saphenous vein grafts. A, One hundred sixty-two femoropopliteal bypasses. B, Two hundred forty-five infrapopliteal bypasses.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions

12. Fig. 11
Bypass patency by life-table analysis adjusted for preoperative selection of patients for operation and presence of a suitable vein for use at time of operation.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) )
Copyright © 1984 Mosby, Inc. Terms and Conditions