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In 22 patients with extensive atherosclerotic disease of the lower extremities 24 long bypasses have been performed. The main indications for surgery were rest pain and imminent or manifest gangrene. The semiclosed in situ vein technique was used in all except one case. Five grafts thrombosed within 2 weeks postoperatively, one of them was successfully reopened. At discharge 20 grafts were patent, and most of the patients had relief of their ischemic symptoms. After 5 years 26% of the long vein grafts were patent. In comparison, almost 70% of in situ femoro-popliteal vein grafts were patent. One patient is still living with an open long vein graft 14 years after surgery. The in situ vein technique is especially suited for long bypasses. The poorer results in the present series is probably due to an extremely advanced atherosclerotic disease and a high percent of small fibrotic veins with a diameter of 3 mm or less.
H Rostad, and
K V Hall, and
B Rostad
November 1984,
Journal of vascular surgery,
H Rostad, and
K V Hall, and
B Rostad
January 1985,
Chirurgie; memoires de l'Academie de chirurgie,
H Rostad, and
K V Hall, and
B Rostad
January 1979,
Irish journal of medical science,
H Rostad, and
K V Hall, and
B Rostad
December 1979,
Irish journal of medical science,
H Rostad, and
K V Hall, and
B Rostad
July 1997,
Annals of vascular surgery,
H Rostad, and
K V Hall, and
B Rostad
December 1992,
Lakartidningen,
H Rostad, and
K V Hall, and
B Rostad
September 1990,
American journal of surgery,
H Rostad, and
K V Hall, and
B Rostad
December 1982,
Archives of surgery (Chicago, Ill. : 1960),
H Rostad, and
K V Hall, and
B Rostad
January 1984,
VASA. Zeitschrift fur Gefasskrankheiten,
