Technik und Morbidität der Entnahme der V. femoralis superficialis

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• 作者：PD Dr. A. Neufang ; S. Savvidis
• 刊名：Gef?sschirurgie
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：21
• 期：3
• 页码：151-163
• 全文大小：2,242 KB
• 刊物主题：Vascular Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1434-3932
• 卷排序：21

文摘

The use of the autologous superficial femoral vein (SFV) as an arterial or venous substitute represents a valuable technique in modern vascular surgery for numerous indications. Implantation of the SFV in case of prosthetic or arterial infection is characterized by excellent control of the infection and durable long-term results with regard to graft patency. In case of elective SFV use, duplex ultrasound evaluation of the deep leg vein system should be implemented to confirm the patency of the profunda femoris vein. The SFV may be harvested distal to the adductor hiatus with a proximal portion of the popliteal vein, but should not exceed the level of the knee joint. Formation of a stump of the proximal SFV must be avoided. Simultaneous harvesting of the ipsilateral greater saphenous vein should be avoided to reduce the risk of significant chronic edema. Early postoperative swelling of the donor leg can be expected and resolves spontaneously in most cases. Chronic mild edema of the leg with possible indication for compression therapy may occur in up to 20 % of cases but severe complications are very rare, if the anatomic borders for the vein harvest are respected. Temporary therapeutic anticoagulation after vein harvest must be decided individually. Duplex ultrasound is a reliable tool to assess the residual deep and superficial venous system over the long term. Excellent graft function and the tolerable adverse effects of vein harvest on the donor leg justify the use of the SFV in arterial and venous vascular surgery if indicated.KeywordsProsthetic infectionAutologous veinSuperficial femoral veinSurgical procedures, operativeComplications