title: Combination reversed and non-reversed upper arm vein for femoro-distal grafting.
abstract: Arm veins are the "second choice" conduit for femoro-distal grafting when the long saphenous vein is either not available or is unsuitable. However, obtaining a graft of sufficient length may be difficult if the forearm veins have been damaged by previous intra-venous cannulation. The harvesting of the upper arm veins separately may overcome the problem of insufficient length but entails a veno-venous anastomosis which is a potential source of both early and late problems. We have harvested both the upper arm cephalic and basilic veins in continuity and created a vein graft which is non-reversed proximally and reversed distally.
authors.affiliation: Vascular Unit, St Mary's Hospital, London, U.K.
authors.forename: M J
authors.initials: MJ
authors.lastname: Grigg
authors.forename: J H
authors.initials: JH
authors.lastname: Wolfe
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001132:Arm / Q000098:blood supply*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D005528:Foot / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D012086:Reoperation; D014184:Transplantation, Homologous / Q000379:methods; D014680:Veins / Q000637:transplantation*