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  • Title: [In situ venous grafts. Indications, technique and results. Prospective study of 26 consecutive cases].
    Author: Suter M, Herrmann M, Chapuis N, Merlini M.
    Journal: Helv Chir Acta; 1993 Jun; 59(5-6):835-41. PubMed ID: 8376150.
    Abstract:
    The in situ saphenous vein bypass has been introduced in our department since 1989. A total of 26 bypasses in 22 patients have been followed prospectively. Indications for revascularisation have been severe arterial insufficiency in 73% of the cases (stage III or IV). With the exception of one postoperative death (myocardial infarction), all the patients have recovered uneventfully, with a regression to stage I. No amputation has been necessary. Morbidity has been 30%, with mainly minor local complications. The primary patency rate is 83% at one year and 78% after 2 and 3 years, whereas the secondary patency rate is 91% at one year, and remains constant thereafter up to 3 years. Considering our results and those from the literature, we believe that the in situ technique is very valuable, especially for below-knee vascular reconstruction. Technical difficulties of the method are analysed.
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