The fabrication of a vein graft suitable for distal reconstruction of the lower extremity utilizing a section of bifid saphenous vein system is described. The configuration of the graft resembles a dipole antenna when splayed open, and hence, the name dipolar vein graft. This graft has some attributes of reversed saphenous vein, as well as of translocated vein grafting. The technique is simple and may have a distinct advantage over other alternatives when the greater saphenous vein is unsuitable or unavailable. Further, it provides a long uninterrupted conduit to the lower leg.
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References
1.
Porter JM: In situ versus reversed veingraft: Is one superior?J Vasc Surg5:779-780, 1987.
2.
Taylor LM, Phinney ES, Potter JM: Present status of reversed vein bypass for lower extremity revascularization . J Vasc Surg3:288-297, 1986.
3.
Fogle MA, Whittemore AD, Couch NP, et al: A comparison of in situ and reversed saphenous vein graft for infrainguinal reconstruction. J Vasc Surg5:46-52, 1987.
4.
Leather RP, Shah DM, Karmody AM: Infrapopliteal patency and utilization of the saphenous vein in situ . Surgery90:1000-1008,1981.
5.
Shah DM, Chang B., Corson JD, et al: The anatomy of the greater saphenous venous system. Vasc Surg3:273-283, 1986.
6.
Leopold PW, Shandall AA, Corson JD, et al: Initial experience comparing B-mode imaging and venography of the saphenous vein before in situ bypass. Am H Surg152:206-210, 1986.
7.
Spencer TD, Goldman MH, Hyslop J., et al: Intra operative assessment of insitu saphenous vein bypass grafts with continuous-wave Doppler probe. Surgery96:874-876,1984.
8.
Ruoff BA, Cranley JJ, Hannah LA: Real-time duplex ultra-sound mapping of the greater saphenous vein before insitu infrainguinal revascularization. J Vasc Surg6:107-113, 1987.
9.
Weaver FA, Barlow CR, Edwards WH, et al: The lesser saphenous vein: Autogenous tissue for lower extremity revascularization. J Vasc Surg5:687-692, 1987.
10.
Schulman ML , Badhey MR: Late results and angiographic evaluation of arm veins as long bypass grafts. J Vasc Surg92:1032-1041, 1982.
11.
Andros G., Harris RW, Salles-Conha SX, et al: Arm veins for arterial revascularization of the leg. Arteriographic and clinical observations. J Vasc Surg416-427, 1986.
12.
LoGerfo FW, Paniszyn CW, Menaokin J.: A new arm vein for distal bypass. J Vasc Surg5:889-891, 1987.
13.
Thompson RW , Mannick JA, Whittemore AD: Arterial reconstruction at diverse sites using nonreversed autogenous vein. Ann Surg.205:747-751, 1987.
14.
Perler BA, Burdick JF, Williams GM: The multiple sequential distal bypass graft: Seven years follow-up . J Vasc Surg6:296-299, 1987.
