Reoperative approaches for failed infrainguinal vein grafts.

The management of patients with thrombosed vein grafts remains a formidable challenge for all vascular surgeons. Management strategies will vary based on a variety of criteria including the patients' overall condition and symptoms, the interval and etiology of graft failure, and the pathological anatomy and availability of autogenous vein. A combination of resourcefulness and adherence to established vascular surgical principles and techniques will facilitate revascularization in the great majority of patients with failed grafts.