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Abstract
Lateral patch graft angioplasty of both arteries and large veins may be successfully
performed with a variety of materials. The specific material used does not effect
luminal patency of canine vessels approximately 5 mm. or larger followed for periods
of 6 to 12 months. Smaller arteries show occasional occlusions after patch grafting,
and autogenous vein is somewhat better than synthetic patches. The failure rate in
tiny 1 mm. arteries is very high.
Better incorporation of autogenous vein patch grafts into the vascular wall leads
to some preference for them over synthetics in all vessels, particularly those of
small size. Other autogenous materials including fascia, peritoneum, and bowel wall
appear promising experimentally but have not yet been tried clinically.
Other recommendations for clinical use include: (A) use of patch grafts only when necessary to obtain an adequate vascular lumen; (B) use of the more easily placed synthetic patch grafts when exposure is difficult
or operative time is of importance: and (C) proper use of a patch graft to enlarge the vascular lumen at the point where a thromboendarterectomy
ends.
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References
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Article info
Footnotes
☆Supported by National Heart Institute Grant HE-06070.
☆☆Presented at the Eighteenth Annual Meeting of the Society for Vascular Surgery, San Francisco, Calif., June 21, 1964.
Identification
Copyright
© 1965 Published by Elsevier Inc.
