Weaver F A, Barlow C R, Edwards W H, Mulherin J L, Jenkins J M
J Vasc Surg. 1987 May;5(5):687-92. doi: 10.1067/mva.1987.avs0050687.
From December 1980 to December 1985, 54 patients underwent 56 lower extremity arterial procedures with the use of lesser saphenous vein (LSV) as graft material. LSV was used in all cases because a satisfactory greater saphenous vein (GSV) was unavailable to accomplish the proposed revascularization. Indications for operation were rest pain, ulceration, and gangrene (74%), and 26% had claudication alone. Fifty of the 56 procedures were femorotibial and femoroperoneal bypasses. Three graft combinations were used: LSV alone (29), lesser saphenous vein and other autogenous vein composites (LSV/AUTO) (14), and lesser saphenous vein with synthetic composite grafts (LSV/SYN) (13). Graft patency rates were determined by life-table analysis. The 3-year patency rate for LSV was 60% and for LSV/AUTO was 38%. LSV/SYN graft composites had a graft patency rate at 18 months of 21%. These data suggest that the LSV may function as an autogenous venous graft for lower extremity revascularization when sufficient GSV is not available.
1980年12月至1985年12月期间，54例患者接受了56次下肢动脉手术，使用小隐静脉（LSV）作为移植材料。所有病例均使用小隐静脉，因为无法获得足够满意的大隐静脉（GSV）来完成拟行的血管重建术。手术指征为静息痛、溃疡和坏疽（74%），26%的患者仅有间歇性跛行。56例手术中有50例为股胫和股腓旁路手术。使用了三种移植组合：单纯小隐静脉（29例）、小隐静脉与其他自体静脉复合移植（LSV/AUTO）（14例）、小隐静脉与合成复合移植物（LSV/SYN）（13例）。通过寿命表分析确定移植通畅率。小隐静脉3年通畅率为60%，LSV/AUTO为38%。LSV/SYN移植复合物在18个月时的移植通畅率为21%。这些数据表明，当没有足够的大隐静脉时，小隐静脉可作为自体静脉移植物用于下肢血管重建。
