Bilgin EMRECAN, Ahmet BALTALARLI, İbrahim GÖKŞİN, Mustafa SAÇAR

Femoral arter ve ven rekonstrüksiyonunda spiral safen ven grefti

Vasküler yaralanmalarda otojen ven greftleri pozitif sonuçları ile ilk tercih edilen greftler haline gelmiştir ve günümüzde oldukça yaygın olarak kullanılmaktadır. Özellikle greft çap uyumsuzluğu durumunda safen venden hazırlanan spiral safen ven greftleri de cesaret verici sonuçlara sahiptir. Bu yazıda kesici delici ve ateşli silah yaralanması nedeni ile başvuran ve spiral safen ven grefti ile vasküler rekonstrüksiyon uygulanan iki olgu sunuldu.

Spiral saphenous vein grafts in the femoral artery and vein reconstruction

Autogenous vein grafts have become the first choice with their positive outcomes in vascular injuries and are quite widely used today. Particularly in the case of size mismatch, spiral saphenous vein grafts prepared from the saphenous veins have had encouraging results. Two cases in which the patients had vascular reconstructions with spiral saphenous vein grafts for a stab wound and gunshot injury are presented in this paper.

PDF

___

1. Pappas PJ, Haser PB, Teehan EP, Noel AA, Silva MB Jr, Jamil Z, et al. Outcome of complex venous reconstructions in patients with trauma. J Vasc Surg 1997;25:398-404.
2. Hobson RW 2nd, Yeager RA, Lynch TG, Lee BC, Jain K, Jamil Z, et al. Femoral venous trauma: techniques for surgical management and early results. Am J Surg 1983;146:220-4.
3. Jost CJ, Gloviczki P, Cherry KJ Jr, McKusick MA, Harmsen WS, Jenkins GD, et al. Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J Vasc Surg 2001;33:320-7.
4. Doty JR, Flores JH, Doty DB. Superior vena cava obstruction: bypass using spiral vein graft. Ann Thorac Surg 1999;67:1111-6.
5. Gloviczki P, Pairolero PC, Toomey BJ, Bower TC, Rooke TW, Stanson AW, et al. Reconstruction of large veins for nonmalignant venous occlusive disease. J Vasc Surg 1992;16:750-61.
6. Bower TC, Nagorney DM, Toomey BJ, Gloviczki P, Pairolero PC, Hallett JW Jr, et al. Vena cava replacement for malignant disease: is there a role? Ann Vasc Surg 1993;7:51-62.
7. Cimochowski GE, Rutherford WE, Blondin J, Harter H. Use of the spiral vein graft as an arterial substitute for secondary access. Am J Nephrol 1991;11:64-6.
8. Farret A, da Ros CT, Fischer CA, Mandelli JP, Farret Júnior LC. Suprarenal aorta reconstruction using a saphenous spiral graft: case report. J Trauma 1994;37:114-8.
9. Palma JH, Gomes WJ, Almeida DR, Carvalho AC, Brasil LA, Buffolo E. Replacement of infected thoracic aortic prosthesis with a spiral composite vein graft. Ann Thorac Surg 1998;65:1135-7.
10. Chiu KM, Chu SH, Chen JS, Li SJ, Chan CY, Chen KS. Spiral saphenous vein graft for portal vein reconstruction in pancreatic cancer surgery. Vasc Endovascular Surg 2007;41:149-52.
11. Nghiem DD. Use of spiral vein graft in living donor renal transplantation. Clin Transplant 2008;22:719-21.