The work deals with the comparative analysis of the results of femoropopliteal shunting (FPS) by means of the great saphenous vein (GSV) and arterialized lateral vein of the forearm (AVF). The results of operations with identical interventions but differing only in the graft are analysed. The best results of FPS with AVF are explained by adequate relationship of the graft and anastomosed artery in both anastomoses, as well as by adaptation of the wall of the AVF to the arterial blood flow during arterialization. In FPS by means of a reversed GSV the end of the graft of a lesser diameter is used for the proximal anastomosis and the end with the greater diameter--for the distal one. Spasm of the GSV after blood begins to flow into it is explained by the type reaction of the wall to the irritator.

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