Graham J W, Lusby R J
Surgery. 1982 Jun;91(6):646-9.
Thirty-seven consecutive vein grafts to the infrapopliteal arteries are reviewed. Upper limb vein was used in each case, either for the entire graft (27%) or in combination with saphenous vein (73%). The grafts were inserted during a 10-year period and constituted 8.6% of the lower limb grafts carried out during this time. There was one postoperative death (2.7%). The patency rate at 3 years was 58 +/- 9.5% and at 5 years 49.1 +/- 11.5%. Indications for the use of upper limb vein in these situations are considered, and the results are compared with those obtainable with other materials. Upper limb vein can provide a satisfactory arterial substitute in the lower limb, and it may occasionally be the material of choice.
回顾了连续37例腘下动脉静脉移植病例。每例均使用上肢静脉，要么用于整个移植（27%），要么与大隐静脉联合使用（73%）。这些移植在10年期间进行，占同期下肢移植的8.6%。术后死亡1例（2.7%）。3年通畅率为58±9.5%，5年通畅率为49.1±11.5%。考虑了在这些情况下使用上肢静脉的指征，并将结果与使用其他材料获得的结果进行了比较。上肢静脉可为下肢提供令人满意的动脉替代物，偶尔可能是首选材料。
