AI Article Synopsis
- The study analyzed 93 vein grafts in 55 trauma patients over 46 months, highlighting high complication rates historically associated with these grafts.
- The revision rate for grafts was 14.8%, but the salvage rate stood at 75%, and flap survival was 96.2%, comparable to flaps without vein grafts.
- The findings suggest that vein grafts do not significantly increase flap failure rates when technical issues are managed and experienced staff monitor the procedure closely.
Article Abstract
The use of interposition vein grafts has been associated in the literature with a high complication and flap failure rate. Ninety-three vein grafts in 55 patients over a 46-month period were analyzed to evaluate the clinical reliability of vein grafts in a predominantly trauma patient population (37/55). Fifty-two arterioarterial grafts and 41 veno-venous grafts were performed. A-V loops prior to flap transfer were created in 26 patients. The revision rate was 14.8 percent, with a salvage rate of 75 percent. Flap survival was 96.2 percent, compared to 96.7 percent for a large series of flaps without vein grafts. It can be concluded from the study, that the use of vein grafts is not associated with a higher flap failure rate, when technical pitfalls can be avoided, and close monitoring by an experienced staff is guaranteed.
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| http://dx.doi.org/10.1055/s-2007-1006446 | DOI Listing |
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