AI Article Synopsis
- The study evaluates the use of femoral vein (FV) for creating arteriovenous fistulas (AVF) and lower extremity bypasses (LEB) over a period from 2006 to 2013.
- A total of 44 patients were examined, revealing a perioperative complication rate of 43.2%, with significant infections but no serious events like compartment syndrome.
- Long-term outcomes showed excellent patency rates for both AVF and LEB, indicating that FV is a viable alternative when more commonly used veins are unavailable.
Article Abstract
Background: We describe the feasibility and long-term outcomes of using femoral vein (FV) for arteriovenous fistula (AVF) and lower extremity bypass (LEB) creation.
Methods: All patients undergoing AVF or LEB using autogenous FV by a single surgeon (April 2006 to September 2013) were reviewed. Perioperative (30-d) complications and long-term outcomes are described.
Results: Forty-four patients underwent vascular reconstruction with FV (AVF = 27 and LEB = 17). Perioperative morbidity was 43.2%, including harvest site infection and or seroma in 15.9%. No patients suffered from compartment syndrome or venous thromboembolic event. At median follow-up of 50.0 mon, overall patency was 70.4% for AVF (primary = 37.0% and secondary = 70.3%) and 76.5% for LEB (primary = 70.6% and secondary = 76.5%). Long-term lower extremity swelling occurred in 18.2% of patients.
Conclusions: Perioperative morbidity following FV harvest is high, but long-term patency rates are excellent. FV harvest is feasible and should be considered as a valid conduit in patients without useable great saphenous vein or other more commonly used sources of autogenous vein.
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| http://dx.doi.org/10.1016/j.jss.2018.11.036 | DOI Listing |
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