Abstract
Reconstructive surgery for femoropopliteal occlusive disease, most commonly caused by arteriosclerosis, is the most commonly performed procedure in peripheral vascular surgery. A great step forward was taken by Kunlin1, who used autologous vein as a bypass graft for superficial femoral artery occlusions, although reversed vein grafts had already been used after trauma during World War I. For many years the use of reversed vein dominated, but since the mid 1970s the in situ technique has increasingly been performed. Both techniques have pros and cons, and discussion of them can be vivid and aggressive. Few randomized studies have compared in situ and reversed vein bypass, and with the use of optimal techniques for both there seems to be little difference in outcome in terms of long-term patency. This discussion will not be further addressed here, and for analysis of results the reader is referred to Taylor and Porter2 and Calligaro et al 3. In addition to being used by some surgeons as first choice of treatment, knowledge of the reversed technique is needed when it is impossible to perform an in situ bypass.
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References
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© 1994 Springer Science+Business Media Dordrecht
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Bergqvist, D., Mätzsch, T. (1994). Femorodistal reversed vein bypass. In: Jamieson, C.W., Yao, J.S.T. (eds) Vascular Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-6854-8_28
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DOI: https://doi.org/10.1007/978-1-4899-6854-8_28
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-412-58630-9
Online ISBN: 978-1-4899-6854-8
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