APPLIED ANATOMICAL STUDY ON FEASIBILITY AND SAFETY OF FEMORAL VEIN AS A VASCULAR GRAFT MATERIAL_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YAN Jingwei , REN Wei.

Department of Vascular Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P.R.China.;

Corresponding author：

Keywords：

Femoral vein; Vascular graft; Anatomical study

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【Abstract】 Objective To explore the feasibility and safety of the femoral vein as a vascular graft material. Methods A total of 114 specimens of lower limbs were harvested from 60 adult cadavers; the lower extremity femoral veins, popliteal vein, deep femoral vein, and the communicating branch were dissected and observed; the length of the available femoral vein, from the point at which deep femoral vein and femoral vein joint to the lower edge of abductor hiatus, and squash vein diameter were measured. Computed tomography venography (CTV) data from 120 patients with lower extremity femoral vein thrombosis were analysed, and the venous reflux pathway of the lower extremity was observed. Results The average height of male was 158.3 cm, and the available length of femoral vein was (18.8 ± 2.3) cm (relative length, 0.118 ± 0.013), and squash vein diameter was (15.8 ± 0.8) mm. The average height of female was 149.2 cm, and the available length of femoral vein was (15.1 ± 1.5) cm (relative length, 0.101 ± 0.010), and squash vein diameter was (14.0 ± 1.1) mm. There were significant differences in the length of the available femoral vein (t=6.354, P=0.000) and squash vein diameter (t=5.555, P=0.000) between male and female. Positive correlation was found between the length of the available femoral vein and height (r=0.964, P=0.000). Low correlation was found between squash vein diameter and height (r=0.382, P=0.003). Double femoral veins were found in 16 limbs (14.0%), a femoral-popliteal vein communicating branch in 48 limbs (42.1%), a deep femoral-popliteal vein communicating branch in 38 limbs (33.3%). CTV showed that great saphenous vein, femoral-popliteal, or deep femoral-popliteal vein communicating branches had compensative capacity in patients with femoral vein thrombosis. Conclusion It is reliable and safe to harvest femoral vein as a vascular graft because of the existence of the great saphenous vein and communicating branches between the popliteal vein and femoral vein or deep femoral vein.

Citation： YAN Jingwei,REN Wei.. APPLIED ANATOMICAL STUDY ON FEASIBILITY AND SAFETY OF FEMORAL VEIN AS A VASCULAR GRAFT MATERIAL. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(1): 102-105. doi: Copy

1.	venous insufficiency after deep vein harvest. J Vasc Surg, 2007, 46(3): 52.
2.	prosthetic infections: the role of autogenous superficial femoropopliteal.
3.	vein reconstruction. Arch Surg, 1999, 134(6): 615-620.
4.	deep veins. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 88-92.
5.	in prosthetic graft infections. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 93-98.
6.	in infections of the aortoiliac region. Ann Vasc Surg, 1997, 11(4): 406-412.
7.	popliteal vein as a conduit for vascular reconstruction in infected.
8.	fields. Eur J Vasc Endovasc Surg, 2003, 25(5): 424-431.
9.	for portal vein reconstruction during pancreaticoduodenectomy. Arch Surg, 2005, 140(7): 698-701.
10.	femoral vein for benign superior vena cava syndrome. Ann Vasc Surg, 2006, 20(6): 834-838.
11.	femoral vein as a venous graft for portal vein reconstruction.
12.	in right lobe living donor liver transplantation. Transplant Proc, 2009, 41(1): 195-197.
13.	deep vein graft for critically ill patients. Vascular, 2011, 19(5): 269-276.
14.	vessels: complete transposition of the femoral artery and vein. Interact Cardiovasc Thorac Surg, 2010, 11(6): 838-839.
15.	femoral-popliteal vein harvest. J Vasc Surg, 1999, 29(2): 282-289.
16.	Clagett GP, Bowers BL, Lopez-Viego MA, et al. Creation of a neo-aortoiliac system from lower extremity deep and superficial veins. Ann Surg, 1993, 218(3): 239-248.
17.	Gordon LL, Hagino RT, Jackson MR, et al. Complex aortofemoral.
18.	Nevelsteen A, Lacroix H, Suy R. Infrarenal aortic graft infection: in situ aortoiliofemoral reconstruction with the lower extremity.
19.	Sicard GA, Reilly JM, Doblas M, et al. Autologous vein reconstruction.
20.	Franke S, Voit R. The superficial femoral vein as arterial substitute.
21.	Brown PM Jr, Kim VB, Lalikos JF, et al. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg, 1999, 13(1): 32-36.
22.	Gibbons CP, Ferguson CJ, Fligelstone LJ, et al. Experience with femoro-.
23.	Fleming JB, Barnett CC, Clagett GP. Superficial femoral vein as a conduit.
24.	Erbella J, Hess PJ, Huber TS. Superior vena cava bypass with superficial.
25.	Sato K, Sekiguchi S, Watanabe T, et al. The use of recipient superficial.
26.	Dvorák M, Staffa R, Podlaha J, et al. Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft—a case review. Rozhl Chir, 2009, 88(1): 11-13.
27.	Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257.
28.	Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178.
29.	Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using.
30.	Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral.
31.	Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12.
32.	Santilli SM, Lee ES, Wernsing SE, et al. Superficial femoral popliteal vein: An anatomic study. J Vasc Surg, 2000, 31(3): 450-455.
33.	Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial.
34.	Rahman A, Colak MC, Ustünel L, et al. A comparison of different treatment managements in patients with acute deep vein thrombosis by the effects on enhancing venous outflow in the lower limb. Med Sci Monit, 2009, 15(11): CR588-593.
35.	Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic.

1. venous insufficiency after deep vein harvest. J Vasc Surg, 2007, 46(3): 52.
2. prosthetic infections: the role of autogenous superficial femoropopliteal.
3. vein reconstruction. Arch Surg, 1999, 134(6): 615-620.
4. deep veins. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 88-92.
5. in prosthetic graft infections. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 93-98.
6. in infections of the aortoiliac region. Ann Vasc Surg, 1997, 11(4): 406-412.
7. popliteal vein as a conduit for vascular reconstruction in infected.
8. fields. Eur J Vasc Endovasc Surg, 2003, 25(5): 424-431.
9. for portal vein reconstruction during pancreaticoduodenectomy. Arch Surg, 2005, 140(7): 698-701.
10. femoral vein for benign superior vena cava syndrome. Ann Vasc Surg, 2006, 20(6): 834-838.
11. femoral vein as a venous graft for portal vein reconstruction.
12. in right lobe living donor liver transplantation. Transplant Proc, 2009, 41(1): 195-197.
13. deep vein graft for critically ill patients. Vascular, 2011, 19(5): 269-276.
14. vessels: complete transposition of the femoral artery and vein. Interact Cardiovasc Thorac Surg, 2010, 11(6): 838-839.
15. femoral-popliteal vein harvest. J Vasc Surg, 1999, 29(2): 282-289.
16. Clagett GP, Bowers BL, Lopez-Viego MA, et al. Creation of a neo-aortoiliac system from lower extremity deep and superficial veins. Ann Surg, 1993, 218(3): 239-248.
17. Gordon LL, Hagino RT, Jackson MR, et al. Complex aortofemoral.
18. Nevelsteen A, Lacroix H, Suy R. Infrarenal aortic graft infection: in situ aortoiliofemoral reconstruction with the lower extremity.
19. Sicard GA, Reilly JM, Doblas M, et al. Autologous vein reconstruction.
20. Franke S, Voit R. The superficial femoral vein as arterial substitute.
21. Brown PM Jr, Kim VB, Lalikos JF, et al. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg, 1999, 13(1): 32-36.
22. Gibbons CP, Ferguson CJ, Fligelstone LJ, et al. Experience with femoro-.
23. Fleming JB, Barnett CC, Clagett GP. Superficial femoral vein as a conduit.
24. Erbella J, Hess PJ, Huber TS. Superior vena cava bypass with superficial.
25. Sato K, Sekiguchi S, Watanabe T, et al. The use of recipient superficial.
26. Dvorák M, Staffa R, Podlaha J, et al. Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft—a case review. Rozhl Chir, 2009, 88(1): 11-13.
27. Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257.
28. Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178.
29. Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using.
30. Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral.
31. Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12.
32. Santilli SM, Lee ES, Wernsing SE, et al. Superficial femoral popliteal vein: An anatomic study. J Vasc Surg, 2000, 31(3): 450-455.
33. Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial.
34. Rahman A, Colak MC, Ustünel L, et al. A comparison of different treatment managements in patients with acute deep vein thrombosis by the effects on enhancing venous outflow in the lower limb. Med Sci Monit, 2009, 15(11): CR588-593.
35. Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic.

Chinese Journal of Reparative and Reconstructive Surgery

APPLIED ANATOMICAL STUDY ON FEASIBILITY AND SAFETY OF FEMORAL VEIN AS A VASCULAR GRAFT MATERIAL

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