Venous boot construction for a distal prosthetic bypass.
Autologous vein should be used at all costs for infrainguinal grafting. There is, nevertheless, a need for other materials in tertiary referral centres whose practice is becoming more complex. Polytetrafluoroethylene (PTFE) has been the prosthesis of choice for most surgeons, but results were poor for grafts to crural arteries. The use of a venous boot, cuff, or collar appeared to improve these results, but only one randomized trial has been performed. This article describes the St Mary's venous boot, which purports to combine the advantages of the other techniques.
Smout
J D
JD
St Mary's Hospital, London, United Kingdom.
Wolfe
J H
JH
D000714:Anastomosis, Surgical / Q000379:methods*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans