Skip to main content
SpringerLink
Log in

The deep veins in arterial reconstructive surgery for limb salvage in patients with multiple occlusions of the femoral and tibioperoneal vessels

  • Original Articles
  • Published:
International Journal of Angiology

Abstract

Below-knee femoropopliteal and femorodistal bypass with nonautologous material shows poor patency rates, especially in multiple occlusions of the tibioperoneal vessels. Twenty-four patients underwent arterial reconstruction for limb salvage using the deep leg veins because the great saphenous vein was not available owing to previous operations. A follow-up period of forty-two months revealed an average bypass patency rate of 75%. During the control period all patients were prospectively investigated concerning changes in the venous system. The authors found only little changes in the venous system and no significant signs of venous insufficiency. The deep leg veins seem to be a valuable addition to arterial reconstructive surgery for limb salvage.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Adamek L, Balzer K (1990) Ergebnisse cruraler rekonstruktionen bei AVK in kombination mit diabetes mellitus. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 114–116.

    Google Scholar 

  2. Alemany J, Montag H (1990) Die Verwendung der vena femoralis superficialis bei femoro-cruralen rekonstruktionen: Methodik, indikation, ergebnisse. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 121–124.

    Google Scholar 

  3. Alemany J, Montag H, Götz H, et al. (1991) Die tiefen beinvenen als gefäßersatz bei femoro-cruralen rekonstruktionen. Indikation—früh-und spätergebnisse. Angio Archiv 21:98–101.

    Google Scholar 

  4. Andros G, Harris RW, Salles-Cunha SK (1986) Arm veins for arterial revascularization of the leg; arterio-graphic and clinical observations. J Vasc Surg 4:416–427.

    Article  PubMed  Google Scholar 

  5. Bergan JJ, Veith FJ, Bernnhard VM, et al. (1982) Randomization of autogenous vein and polytetrafluoroethylene grafts in femoro-distal reconstruction. Surgery 99:921–930.

    Google Scholar 

  6. Böhmig HJ, Zeidler G, Schmöller F (1991) Orthograder venen-bypass mit irapoplitealer distaler anastomose: Technik und ergebnisse. Angio 13:145–154.

    Google Scholar 

  7. Eisele R, Henzeler M, Meyer M (1990) Fünf-Jahres-Ergebnisse beim femoro- cruralen bypass unter berücksichtigung des bypassmaterials, der anschulßgefäßes, der AV-fistel und der postoperativen marcumarisierung. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 178–182.

    Google Scholar 

  8. Feinberg RL, Winter RP, Wheeler JR, et al. (1990) The use of composite grafts in femorocrural bypass performed for limb salvage: A review of 108 consecutive cases and comparison with 57 in situ saphenous vein bypasses. J Vasc Surg 12:257–263.

    Article  PubMed  Google Scholar 

  9. Franke S (1989) Die autogene V. Saphena magna als bypassmaterial an der underen extremität—In-situ bypass vs. reversed bypass. Angio Archiv 17:110–112.

    Google Scholar 

  10. Gruss JD (1990) Der femoro-crurale vena-saphena-magna-insitu-bypass. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 104–109.

    Google Scholar 

  11. Harling HH, Lorentzen JE, Nielsen, et al. (1987) Femoro-distal bypass—a worthwhile procedure? Eur J Vasc Surg 1:133–135.

    PubMed  Google Scholar 

  12. Harris RW, Andros G, Dulawa LB, et al. (1984) Successful long-term limb salvage using cephalic vein bypass graft. Ann Surg 200:785–792.

    PubMed  Google Scholar 

  13. Husfeldt KJ, Müller-Reinartz U (1990) Erfahrungen mit der PTFE-Prothese im femoro-cruralen gefäßabschnitt. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 125–128.

    Google Scholar 

  14. Johnson JA, Cogbill TH, Strutt PJ, et al. (1988) Wound complications after infrainguinal bypass. Arch Surg 123:859–862.

    PubMed  Google Scholar 

  15. Leather RP, Shah DM, Karmody AM (1981). Infrapopliteal arterial bypass for limb salvage: Increased patency and utilization of the saphenous vein used in situ. Surgery 190:1000–1008.

    Google Scholar 

  16. Lindhagen A, Hallböök T (1982). Venous function in the leg 20 years after ligation and partial resection of the popliteal vein. Acta Chir Scand 148:131–134.

    PubMed  Google Scholar 

  17. Linton RR, Wirthlin RS (1973) Femoropopliteal composite Dracon and autogenous vein bypass grafts. Arch Surg 107:748–753.

    PubMed  Google Scholar 

  18. Noppeney Th, Kasprzak P, Raithel D (1989) Die vena femoralis superficialis als autologer gefäßersatz—erste erfahrungen. Angio Archiv 17:102–103.

    Google Scholar 

  19. Schaefer B, Bartsch M, Kummer D, et al. (1990) Späte ergebnisse nach femoro-cruraler rekonstruktion mit PTFE-Prothesen. In: Der Crurale Gefäßverschluß, by Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 134–138.

    Google Scholar 

  20. Schanzer H, Chaing K, Mabrouk M, et al. (1991) Use of deep leg veins as arterial or large vein substitutes: Functional status of the donor leg. J Cardiovasc Surg 32:97.

    Google Scholar 

  21. Schulman ML, Badhey MR (1981) Deep veins of the leg as femoro-popliteal bypass graft. Arch Surg 116:1141–1145.

    PubMed  Google Scholar 

  22. Schulman ML, Badhey MR (1982) Late results and angiographic evaluation of arm veins as long bypass graft. Surgery 99:1032–1041.

    Google Scholar 

  23. Schulman ML, Badhey MR, Yatco R, et al. (1986) An 11-year experience with deep leg veins as femoro-popliteal bypass graft. Arch Surg 121:1010–1015.

    PubMed  Google Scholar 

  24. Schweiger H, Horn St, Meister R, et al. (1990) Die crurale rekonstruktion mit kunststoffprosthesen—Lohnt sich der Aufwand? In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 139–141.

    Google Scholar 

  25. Silverman SH, Flynn TC, Seeger JM (1991) Secondary femorodistal bypass. J Cardiovasc Surg 32:121–127.

    Google Scholar 

  26. Stockmann U (1990) Die extraanatomische femoro-crurale rekonstruktion. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 175–177.

    Google Scholar 

  27. Van Dongen RJAM (1990) Die alternativen femoro-cruralen bypass-operationen. In: Der Crurale Gefäßverschluß, Zehle A (ed). W. Zuckschwerdt Verlag: München, pp 170–174.

    Google Scholar 

  28. Veith JF, Gupta SK, Daly V (1981) Femoropopliteal bypass to the isolated popliteal segment. Is polytetrafluoroethylene graft acceptable? Surgery 98:296–304.

    Google Scholar 

  29. Wozniak G, Montag H, Altmeyer W, et al. (1991) Die venöse insuffizienz nach ausfall der gesunden vena femoralis superficialis und vena poplitea. VASA 33 (Suppl):101–102.

    Google Scholar 

  30. Zeidler G, Behrenberg-Gossler J, Böhmig HJ (1989) Erfahrung mit einer außenverstärkten PTFE-Prothese (Impraflex®) für die rekonstrucktion chronischer arterieller verschlüsse der unteren extremitäten. Angio Archiv 17:169–170.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular Surgery, Knappschaftskrankenhuas, Osterfelderstrasse 157, W-4250, Bottrop, Germany

    Gernold Wozniak M.D. (A.F.I.C.A.), Heinrich Montag M.D. & José Alemany M.D. (F.I.C.A., Head)

Authors
  1. Gernold Wozniak M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Heinrich Montag M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. José Alemany M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Wozniak, G., Montag, H. & Alemany, J. The deep veins in arterial reconstructive surgery for limb salvage in patients with multiple occlusions of the femoral and tibioperoneal vessels. International Journal of Angiology 3, 65–69 (1994). https://doi.org/10.1007/BF02014917

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02014917

Keywords

Search

Navigation