Grafts and Graft Complications

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Vauclair F, Haller C, Marques-Vidal P, et al (Lausanne Univ Hosp, Switzerland) Eur J Vasc Endovasc Surg 43:48–53, 2012^§

Abstract

Objectives

Determine if arm veins are good conduits for infrainguinal revascularisation and should be used when good quality saphenous vein is not available.

Design

Retrospective study.

Materials and Methods

We evaluated a consecutive series of infrainguinal bypass (IB) using arm vein conduits from March 2001 to December 2006.We selected arm vein by preoperative ultrasound mapping to identify suitable veins. We measured vein diameter and assessed vein wall quality. We followed patients with systematic duplex imaging at 1 week, 1, 3, 6 and 12 months, and annually thereafter. We treated significative stenoses found during the follow-up.

Results

We performed 56 infrainguinal revascularisation using arm vein conduits in 56 patients. Primary patency rates at 1, 2 and 3 years were 65%, 51% and 47%. Primary assisted patencies at 1, 2 and 3 years were 96%, 96% and 82%. Secondary patency rates at 1, 2 and 3 years were 92%, 88% and 88%. The three-year limb salvage rate was 88%.

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