Vein Patch Closure Using Below the Knee Greater Saphenous Vein for Femoral Endarterectomy Procedures is Not Always a Safe Choice. (2017)

• Record Type: Journal Article
• Authors: Berner, M.; Lattmann, Th.; Stalder, Ph.; Wigger, P.
• Is Part Of: EJVES short reports. Volume 37(2017)
• Page Start: 22
• Page End: 24
• Publication Date: 2017
• Subjects: Angioplasty -- Patch rupture -- Femoral artery -- Patch -- Great saphenous vein; Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; 617.413005
• DOI: 10.1016/j.ejvssr.2017.10.001
• Languages: English
• ISSNs: 2405-6553

Abstract

Abstract : Background: The complication of vein patch rupture is well described after carotid patch angioplasty; however, there is a paucity of data about the safety of vein patch closure in the setting of femoral endarterectomy. Methods/results: From May 2012 to May 2015, 115 femoral endarterectomies with patch closure were performed. A patch rupture occurred in three cases (2.6%) with a mortality rate of 66% (2/3). In all cases the greater saphenous vein below the knee was used as patch material. Discussion/conclusion: Vein patches, particularly from small calibre veins, should be excluded in femoral endarterectomy procedures as they pose a substantial risk of rupture. Highlights: Choice of patch material for endarterectomy procedures of the common femoral artery may be crucial. Patch rupture after use of the greater saphenous vein occurs in 3% of cases. A particular risk of rupture occurs after the use of below knee greater saphenous vein patches. Patch rupture is associated with a high mortality rate.