Open AccessImmediate occlusion of in situ saphenous vein bypass grafts: a survey of 329 reconstructions
Author(s) -
Albäck Anders,
Lepäntalo Mauri
Publication year - 1998
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241598750005372
Subject(s) - medicine , surgery , occlusion , vein , derivation , retrospective cohort study , graft occlusion , artery
Objective: To evaluate the cause of immediate occlusions (those occurring during the first month postoperatively) of infrainguinal reconstruction using in situ saphenous vein. Design: Retrospective clinical study. Setting: University hospital, Finland. Subjects: 329 in situ saphenous vein bypasses done during the period 1988–1995. Main outcome measures: Immediate result, and causes of occlusion during the first month postoperatively. Results: 65 of the reconstructions (20%) failed within 1 month, 46 of which were reoperated on, 25 successfully, giving a 1‐month secondary patency of 88% (289/329). The cause of the occlusion was related to the vein graft in 29 (45%) and the result of inadequate run‐off in 19 (29%). Conclusion: Many immediate occlusions of in situ saphenous vein bypass are graft‐related or the result of technical problems, necessitating aggressive intraoperative evaluation. Copyright © 1998 Taylor and Francis Ltd.