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KMID : 0364019930260110881
Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 11 p.881 ~ p.885
In Situ Saphenous Vein Arterial Bypass -A Cases Report-
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Abstract
In the last few years there has been a resurgence of interest in in situ saphenous vein arterial bypass for lower extremity revascularization because of improved patency rates. We performed 1 in situ bypass oreration using the intraluminal
valve-disruption technique. A 65-yea-old female who had atherosclerotic obstruction in the superficial and popliteal arteries underwent in situ saphenous vein arterial bypass. After harvesting of saphenous vein, we used LeMaitre retrograde
valvulotome
for valve-disruption technique. Completion of the arteriography was performed to evaluate both the anastomoses.
The two side branches were all ligated. In situ saphenous vein arterial bypass has become the procedure of choice for distal reconstruction in severely ischemic lower extremities because of improved long-term patency compared with
reversed-saphenous
vein bypass procedure. (Korean J Thoracic Cardiovas Surg 1993;26:881-5)
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